Organization Active NPI

Gulf Coast Vision Center, Inc.

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1275993248
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
7460TG Issued in TX
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

Updated by the provider on Mar 3, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.