NPIMap

Organization Active NPI

Clara Vista Eyecare

  • Optometrist
  • Montgomery, TX
National Provider Identifier
1235830431
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLARA VISTA EYECARE
Practice address
19792 Highway 105 W # 300
Montgomery, TX 77356-5632
Phone
(936) 220-4313
Fax
(936) 220-4312
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
JMC WORLDWIDE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Christos Alexander McClain, ODNPI 1154989622
Title
Member
Phone
(979) 224-2821

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU
Pediatric Optometrist 152WP0200X NU

Addresses

Primary practice location

19792 Highway 105 W # 300
Montgomery, TX 77356-5632

Mailing address

1109 Rock Prairie Rd Ste 300
College Station, TX 77845-8651
Phone (936) 220-4313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220002702 TX Part B Supplier - Clinic/Group Practice 6507216371 Receives reassigned benefits from 6 practitioners
Practice locations: Montgomery, TX

National Provider Directory

National Provider Directory
Part of
JMC Worldwide PLLC

Locations

19792 Highway 105 W
Ste 300
Montgomery, TX 77356
Phone (936) 220-4313

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1235830431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 ROCK PRAIRIE RD STE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458651",
            "telephone_number": "936-220-4313",
            "fax_number": "936-220-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19792 HIGHWAY 105 W # 300",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565632",
            "telephone_number": "936-220-4313",
            "fax_number": "936-220-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA VISTA EYECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JMC WORLDWIDE PLLC",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "979-224-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.