Individual provider Active NPI

Dolores Facundo, OD

  • Optometrist
  • Webster, TX
National Provider Identifier
1205748456
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11759TG Issued in TX
Practice address
19801 Gulf Fwy Ste 900B
Webster, TX 77598-3824
Phone
(281) 724-6150
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11759TG TX Primary

Addresses

Primary practice location

19801 Gulf Fwy Ste 900B
Webster, TX 77598-3824

Mailing address

2717 Maple Spring Dr
Deer Park, TX 77536-3597
Phone (713) 280-6015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1205748456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MAPLE SPRING DR",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775363597",
            "telephone_number": "713-280-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GULF FWY STE 900B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983824",
            "telephone_number": "281-724-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACUNDO",
        "first_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11759TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.