Texas Retina Center, PLLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

TEXAS RETINA CENTER, PLLC

Practice address

2929 Weslayan St Apt 1808
Houston, TX 77027-2025

Phone

(713) 725-8012

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shaheen Cyrus Kavoussi, MDNPI 1063788446

Title

Manager

Phone

(713) 725-8012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: skavoussi@texasretina.intellechartdirect.net

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.

• Shaheen Kavoussi, M.D.

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1063788446
  Medicare reassignment NPD Authorized official
• Athisha Piyapanee, OD

  • Optometrist
  • Houston, TX
  • NPI 1902762958
  Medicare reassignment NPD
• Mahdokht Davoodi, O.D., M.S.

  • Optometrist
  • Tomball, TX
  • NPI 1326326232
  NPD (past)
• Deborah Koch Hartman, R.N., M.S.N., C.N.M.

  • Advanced Practice Midwife
  • Houston, TX
  • NPI 1194948372
  NPD (past)
• Norman H Rappaport, M.D.

  • Specialist
  • Houston, TX
  • NPI 1891713491
  NPD (past)
• Michael Joseph Streitmann, M.D.

  • Plastic Surgery Physician
  • Houston, TX
  • NPI 1386624450
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1265991855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WESLAYAN ST APT 1808",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272025",
            "telephone_number": "713-501-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 WESLAYAN ST APT 1808",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272025",
            "telephone_number": "713-725-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "832-667-5694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770744302",
            "country_code": "US",
            "telephone_number": "713-456-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS RETINA CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "KAVOUSSI",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_middle_name": "CYRUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-725-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmologic Surgery Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Ophthalmologic Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.