Organization Active NPI

Mattioli Vision Professionals, PA

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1164775946
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L0405 Issued in TX
Legal business name
MATTIOLI VISION PROFESSIONALS, PA
Practice address
2200 Southwest Fwy Ste 500
Houston, TX 77098-4786
Phone
(713) 776-3937
Fax
(713) 776-3938
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Fred Mattioli
Title
President
Phone
(713) 776-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X L0405 TX Primary

Addresses

Primary practice location

2200 Southwest Fwy Ste 500
Houston, TX 77098-4786

Mailing address

2200 Southwest Fwy Ste 500
Houston, TX 77098-4786
Phone (713) 776-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1164775946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SOUTHWEST FWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984786",
            "telephone_number": "713-776-3937",
            "fax_number": "713-776-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SOUTHWEST FWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984786",
            "telephone_number": "713-776-3937",
            "fax_number": "713-776-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIOLI VISION PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "MATTIOLI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-776-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L0405",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.