Organization Active NPI

Sugarland Eye & Laser Center Professional Association

  • Ophthalmology Physician
  • Sugar Land, TX
National Provider Identifier
1205952512
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L3360 Issued in TX
Legal business name
SUGARLAND EYE & LASER CENTER PROFESSIONAL ASSOCIATION
Practice address
736 Highway 6
Suite 101
Sugar Land, TX 77478-5103
Phone
(281) 240-0478
Fax
(281) 240-0479
NPI assigned
Mar 21, 2007
Reactivated
Dec 21, 2020
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Rubi Khan
Title
Billing
Phone
(281) 240-0478

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X L3360 TX
Ophthalmology Physician 207W00000X L3360 TX Primary

Addresses

Primary practice location

736 Highway 6
Suite 101
Sugar Land, TX 77478-5103

Mailing address

736 Highway 6
Suite 101
Sugar Land, TX 77478-5103
Phone (281) 240-0478

Other practice location 1

7737 Southwest Fwy Ste 350
Houston, TX 77074-1804
Phone (832) 538-0083

Other practice location 2

2504 Westminister St Ste C
Pearland, TX 77581-4518
Phone (832) 406-7324

Other identifiers 2

IdentifierTypeStateIssuer
0071MDOtherTXBCBS
171203601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000845 TX Part B Supplier - Clinic/Group Practice 7810948874 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX; Pearland, TX; Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

11965 Bissonnet St
Ste 101
Houston, TX 77099
Phone (281) 240-0478

2504 Westminister St
Ste C
Pearland, TX 77581
Phone (832) 406-7324

15200 Southwest Fwy
Ste 300
Sugar Land, TX 77478
Phone (281) 217-4719

736 Highway 6
Sugar Land, TX 77478

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1205952512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 HIGHWAY 6",
            "address_2": "SUITE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785103",
            "telephone_number": "281-240-0478",
            "fax_number": "281-240-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 HIGHWAY 6",
            "address_2": "SUITE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785103",
            "telephone_number": "281-240-0478",
            "fax_number": "281-240-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7737 Southwest Fwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741804",
            "country_code": "US",
            "telephone_number": "832-538-0083",
            "fax_number": "866-939-1532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 Westminister St Ste C",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775814518",
            "country_code": "US",
            "telephone_number": "832-406-7324",
            "fax_number": "866-939-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUGARLAND EYE & LASER CENTER PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "deactivation_date": "2020-11-16",
        "reactivation_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RUBI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "281-240-0478"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "L3360",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L3360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071MD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171203601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.