Organization Active NPI

Memorial City Tso, P.C.

  • Optometrist
  • Houston, TX
National Provider Identifier
1295704682
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MEMORIAL CITY TSO, P.C.
Practice address
10321 Katy Fwy
Suite C
Houston, TX 77024-1123
Phone
(713) 468-7361
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Thomas Ford
Title
HR Director
Phone
(713) 468-7631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10321 Katy Fwy
Suite C
Houston, TX 77024-1123

Mailing address

1250 Uvalde Rd
Houston, TX 77015-3708

Other identifiers 1

IdentifierTypeStateIssuer
1577660-01MedicaidTX

Other names 1

  • Memorial City Texas State Optical Doing business as

National Provider Directory

National Provider Directory

Locations

10321 Katy Fwy
Ste C
Houston, TX 77024
Phone (713) 468-7361

303 Memorial City
Ste 633
Houston, TX 77024
Phone (713) 468-7631

Practitioners & affiliated clinicians

Practitioners 5

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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1295704682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 UVALDE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10321 KATY FWY",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241123",
            "telephone_number": "713-468-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CITY TSO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "713-468-7631"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577660-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial City Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2009; 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.