Organization Active NPI

Accomplish Vision PLLC

  • Optometrist
  • Humble, TX
National Provider Identifier
1174931976
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7340 Issued in TX
Legal business name
ACCOMPLISH VISION PLLC
Practice address
20777 Highway 59 N
Humble, TX 77338-2209
Phone
(281) 446-4220
Fax
(281) 446-4220
NPI assigned
Jul 24, 2014
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Dr. Pratik B Roy, O.D.NPI 1356581235
Title
Optometrist
Phone
(281) 446-4220

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
Optometrist 152W00000X 7340 TX Primary

Addresses

Primary practice location

20777 Highway 59 N
Humble, TX 77338-2209

Mailing address

20777 Highway 59 N
Humble, TX 77338-2209
Phone (281) 446-4220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150429001002 TX Part B Supplier - Clinic/Group Practice 1951620764 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1174931976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20777 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382209",
            "telephone_number": "281-446-4220",
            "fax_number": "281-446-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20777 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382209",
            "telephone_number": "281-446-4220",
            "fax_number": "281-446-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOMPLISH VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "281-446-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.