Organization Active NPI

Lake Conroe Eyecare

  • Optometrist
  • Spring, TX
National Provider Identifier
1275911638
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7244TG Issued in TX
Legal business name
LAKE CONROE EYECARE
Practice address
10807 Kuykendahl Rd Ste 408
Spring, TX 77382-2782
Phone
(832) 948-8885
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Dr. Tammy Pham, O.D.
Title
Sole Owner
Phone
(832) 948-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7244TG TX Primary

Addresses

Primary practice location

10807 Kuykendahl Rd Ste 408
Spring, TX 77382-2782

Mailing address

10807 Kuykendahl Rd Ste 408
Spring, TX 77382-2782
Phone (832) 948-8885

National Provider Directory

National Provider Directory

Locations

10807 Kuykendahl Rd
Ste 408
Spring, TX 77382
Phone (281) 298-8332

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1275911638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 KUYKENDAHL RD STE 408",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822782",
            "telephone_number": "832-948-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 KUYKENDAHL RD STE 408",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822782",
            "telephone_number": "832-948-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CONROE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "832-948-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7244TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.