Individual provider Active NPI

Mark F. Klaff, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1194887604
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3063T Issued in TX
Practice address
7500 Beechnut St Ste 175
Houston, TX 77074-4399
Phone
(832) 955-8162
Fax
(832) 787-0105
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3063T TX Primary

Addresses

Primary practice location

7500 Beechnut St Ste 175
Houston, TX 77074-4399

Mailing address

7500 Beechnut St Ste 175
Houston, TX 77074-4399
Phone (832) 955-8162

Other identifiers 1

IdentifierTypeStateIssuer
208243001MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091208000299 TX Practitioner - Optometry 3678612421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3063TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Optic PLLC Optometrist CurrentSince Oct 20, 2009 Accepting new patients
Houston Optic, PLLC Optometrist Current Accepting new patients
Houston Optic PLLC Optometrist CurrentSince Oct 20, 2009 Accepting new patients

Locations

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

590 Chimney Rock Rd
Houston, TX 77056
Phone (713) 782-4406

2855 Gramercy St
#400
Houston, TX 77025

5420 Dashwood Dr
Ste 101
Houston, TX 77081
Phone (713) 665-2015

1447 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: mark.klaff@houstoneye.direct.eyemdemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1194887604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744399",
            "telephone_number": "832-955-8162",
            "fax_number": "832-787-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744399",
            "telephone_number": "832-955-8162",
            "fax_number": "832-787-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAFF",
        "first_name": "MARK",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3063T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208243001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.