Organization Active NPI

Doucet, PLLC

  • Ophthalmology Physician
  • Conroe, TX
National Provider Identifier
1265793772
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E0891 Issued in TX
Legal business name
DOUCET, PLLC
Practice address
690 S Loop 336 W
Ste 205
Conroe, TX 77304-3318
Phone
(936) 760-8570
Fax
(936) 521-8208
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Timothy W Doucet, M.D.
Title
Owner
Phone
(936) 760-8570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X E0891 TX Primary

Addresses

Primary practice location

690 S Loop 336 W
Ste 205
Conroe, TX 77304-3318

Mailing address

690 S Loop 336 W
Ste 205
Conroe, TX 77304-3318
Phone (936) 760-8570

National Provider Directory

National Provider Directory

Locations

690 S Loop 336 W
Ste 205
Conroe, TX 77304
Phone (936) 760-8570

690 S Loop 336 W
Fl 2
Conroe, TX 77304
Phone (936) 760-8570

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1265793772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W",
            "address_2": "STE 205",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043318",
            "telephone_number": "936-760-8570",
            "fax_number": "936-521-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W",
            "address_2": "STE 205",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043318",
            "telephone_number": "936-760-8570",
            "fax_number": "936-521-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUCET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "DOUCET",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-760-8570",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E0891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.