Organization Active NPI

Spring Branch Eye Care Center LLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1164608279
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6503TG Issued in TX
Legal business name
SPRING BRANCH EYE CARE CENTER LLC
Practice address
1810 Wirt Rd
Houston, TX 77055-2407
Phone
(713) 290-9900
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Liliana Cervantes Karim, ODNPI 1851350789
Title
Owner
Phone
(713) 290-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6503TG TX Primary

Addresses

Primary practice location

1810 Wirt Rd
Houston, TX 77055-2407

Mailing address

1810 Wirt Rd
Houston, TX 77055-2407

Other identifiers 1

IdentifierTypeStateIssuer
163493301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000220 TX Part B Supplier - Clinic/Group Practice 9830084334 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1810 Wirt Rd
Houston, TX 77055
Phone (713) 290-9900

1802 Wirt Rd
Ste B
Houston, TX 77055
Phone (713) 290-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164608279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552407",
            "telephone_number": "713-290-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING BRANCH EYE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CERVANTES KARIM",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-290-9900",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6503TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163493301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.