Organization Active NPI

Radiant Eyecare, PC

  • Optometrist
  • Cypress, TX
National Provider Identifier
1205383783
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RADIANT EYECARE, PC
Practice address
9814 Fry Rd Ste 180
Cypress, TX 77433-5373
Phone
(999) 999-9999
NPI assigned
Sep 1, 2016
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Mai NguyenNPI 1033412770
Title
Owner Optometrist
Phone
(832) 653-6066

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 TX Primary

Addresses

Primary practice location

9814 Fry Rd Ste 180
Cypress, TX 77433-5373

Mailing address

9814 Fry Rd Ste 180
Cypress, TX 77433-5373
Phone (832) 653-6066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200102000148 TX Part B Supplier - Clinic/Group Practice 1355775263 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

9814 Fry Rd
Ste 180
Cypress, TX 77433
Phone (832) 653-6066

3130 Grants Lake Blvd
Unit 16247
Sugar Land, TX 77496

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1205383783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 FRY RD STE 180",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335373",
            "telephone_number": "832-653-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 FRY RD STE 180",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335373",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "832-653-6066"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.