Active NPI
Med Southwest, PLLC
- Optometrist
- Pasadena, TX
National Provider Identifier
1154092286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MED SOUTHWEST, PLLC
- Practice address
- 3405 Spencer Hwy
Pasadena, TX 77504-1107 - Phone
- (281) 875-2020
- Fax
- (713) 946-7257
- NPI assigned
- Sep 28, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Coppell, TX
- NPI 1275519225
-
- Optometrist
- Fort Worth, TX
- NPI 1063678704
-
- Optometrist
- Houston, TX
- NPI 1144741448
-
- Optometrist
- Houston, TX
- NPI 1316630056
-
- Optometrist
- Katy, TX
- NPI 1134337900
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2318774 | Med Southwest, PLLC | Certificate of waiver | Feb 17, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190221001481 | TX | Part B Supplier - Clinic/Group Practice | 4082952874 |
Receives reassigned benefits from 379 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Med Southwest PLLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Granbury, TX
- NPI 1083222111
-
- Optometrist
- Austin, TX
- NPI 1083568596
-
- Optometrist
- Forney, TX
- NPI 1093323123
-
- Optometrist
- Fort Worth, TX
- NPI 1093487332
-
- Optometrist
- Watauga, TX
- NPI 1104485945
-
- Optometrist
- Coppell, TX
- NPI 1104506443
-
- Optometrist
- Katy, TX
- NPI 1104588458
-
- Optometrist
- Cleburne, TX
- NPI 1124760921
-
- Optometrist
- Pearland, TX
- NPI 1144034604
-
- Optometrist
- Bedford, TX
- NPI 1144821638
-
- Optometrist
- San Angelo, TX
- NPI 1144825662
-
- Optometrist
- Beaumont, TX
- NPI 1144835463
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3405 Spencer Hwy
Pasadena, TX 77504-1107
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
NPPES NPI Registry- MyEyeDr.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2022.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653782400000",
"number": "1154092286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 SPENCER HWY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041107",
"telephone_number": "281-875-2020",
"fax_number": "713-946-7257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED SOUTHWEST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2022-05-29",
"certification_date": "2022-05-29",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.