Active NPI
Gulf Coast Vision Center, Inc.
- Medical Specialty Clinic/Center
- Houston, TX
National Provider Identifier
1275993248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 7460TG
- Legal business name
- GULF COAST VISION CENTER, INC.
- Practice address
- 2636 South Loop West
Suite 500
Houston, TX 77054-0001 - Phone
- (713) 790-0513
- Fax
- (713) 790-0514
- NPI assigned
- Mar 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jelita Green
- Title
- Director
- Phone
- (832) 628-5126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 7460TG | TX | Primary |
Addresses
Primary practice location
2636 South Loop West
Suite 500
Houston, TX 77054-0001
Mailing address
11601 Shadow Creek Pkwy # 111-543
Pearland, TX 77584-7283
Phone (713) 790-0513
National Provider Directory
National Provider DirectoryLocations
11601 Shadow Creek Pkwy
#111543
Pearland, TX 77584
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Henagar, AL
- NPI 1316901028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456963200000",
"number": "1275993248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 SHADOW CREEK PKWY # 111-543",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847283",
"telephone_number": "713-790-0513",
"fax_number": "713-790-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 SOUTH LOOP WEST",
"address_2": "SUITE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770540001",
"telephone_number": "713-790-0513",
"fax_number": "713-790-0514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST VISION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-03",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "JELITA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "832-628-5126"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "TX",
"license": "7460TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.