Organization Active NPI

Marcus G. Piccolo, OD, PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1205911963
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARCUS G. PICCOLO, OD, PLLC
Practice address
2055 Westheimer Rd
Suite 135
Houston, TX 77098-1598
Phone
(713) 520-6600
Fax
(713) 520-6656
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Gwynn A Piccolo
Title
Corporate Secretary
Phone
(713) 520-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2055 Westheimer Rd
Suite 135
Houston, TX 77098-1598

Mailing address

2055 Westheimer Rd
Suite 135
Houston, TX 77098-1598
Phone (713) 520-6600

Other names 1

  • Eye Contact Doing business as

National Provider Directory

National Provider Directory

Locations

2055 Westheimer Rd
Ste 135
Houston, TX 77098
Phone (713) 520-6600

3729 Westheimer Rd
Houston, TX 77027
Phone (713) 993-0344

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1205911963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 WESTHEIMER RD",
            "address_2": "SUITE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981598",
            "telephone_number": "713-520-6600",
            "fax_number": "713-520-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WESTHEIMER RD",
            "address_2": "SUITE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981598",
            "telephone_number": "713-520-6600",
            "fax_number": "713-520-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS G. PICCOLO, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "PICCOLO",
        "authorized_official_first_name": "GWYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "713-520-6600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Contact",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.