Maxwell Anozie Olumba, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

05955TG Issued in TX

Practice address

5505 W Orem Dr
Suite 400
Houston, TX 77085-1276

Phone

(713) 487-2020

Fax

(713) 487-2025

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment Care Compare group NPD
• Dianne Bui Dao OD PC

  • Optometrist
  • Pearland, TX
  • NPI 1316159346
  NPD (past)
• Janet B Ogletree OD PA

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Northline Tso PC

  • Optometrist
  • Houston, TX
  • NPI 1134198518
  NPD (past)
• Northshore Tso, Inc.

  • Optometrist
  • Houston, TX
  • NPI 1639148034
  NPD (past)
• Pasadena Optical Inc

  • Optometrist
  • Pasadena, TX
  • NPI 1164491544
  NPD (past)
• Pearland Professional Vision PLLC

  • Optometrist
  • Pearland, TX
  • NPI 1598056855
  NPD (past)
• PNZ Place Tso PC

  • Optometrist
  • Houston, TX
  • NPI 1972572378
  NPD (past)
• Pope Enterprises PLLC

  • Optometrist
  • Friendswood, TX
  • NPI 1396927059
  NPD (past)
• Tomball Texas State Optical PA

  • Optometrist
  • Tomball, TX
  • NPI 1770552176
  NPD (past)
• Willowbrook Tso PC

  • Optometrist
  • Houston, TX
  • NPI 1073582466
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1194709741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W OREM DR",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851276",
            "telephone_number": "713-487-2020",
            "fax_number": "713-487-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W OREM DR",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851276",
            "telephone_number": "713-487-2020",
            "fax_number": "713-487-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUMBA",
        "first_name": "MAXWELL",
        "middle_name": "ANOZIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05955TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154815811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita S. Olufowoshe, M.M.P
• Olufunke and Associates
• Elizabeth Olufuwa, PHARMD
• Olufemi Olukoya, LPC-S
• Brooklyn Olumba, PHARMD
• Oluwatoyosi Olumide
• Jacqueline Marie Olumoko, RN,BC
• Mercy C Olumuyiwa
• Fidel Oluoch
• Oyeboade Olurin

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.