Ellen Fandry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8948T Issued in TX

Practice address

402 Sawdust Rd
The Woodlands, TX 77380-2243

Phone

(281) 363-2020

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seabrook Eye Center PLLCGroup PAC ID 7719237874, 2 clinicians

Practice addresses (Care Compare)

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.

• Seabrook Eye Center PLLC

  • Optometrist
  • Seabrook, TX
  • NPI 1497231435
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1205288057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ORCHARD MOUNTAIN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595518",
            "telephone_number": "281-794-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802243",
            "telephone_number": "281-363-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDRY",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8948T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Clinic & Women'S Health, P.a.
• Family Practice Medical Associates of Texas, P.a.
• Family Psychiatry of the Woodlands PA
• Family Services of Greater Houston
• Family Services of Greater Houston
• Hanchen Fang
• Patrick Farahvashi
• Abby Farber
• Bonnie Marie Farinella, SLP ASSISTANT
• Norman D Farley, D.D.S.

• Optometrist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.