1960 Eye Surgeons, P.a.
Organization Active NPI Ophthalmology Physician · Houston, TX
NPI 1295817609 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1295817609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- 1960 EYE SURGEONS, P.A.
- Practice address
- 13333 Dotson Rd Ste 200
Houston, TX 77070-4305 - Phone
- (281) 890-1784
- Fax
- (281) 890-5733
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Joel S Cohen, M.D.
- Title
- President
- Phone
- (281) 890-1784
Practitioners 7
-
Zane Anwar, M.D.
-
Anne Chang-Godinich, M.D.
-
Tessa M Markus, O.D.
-
Thomas James Markus, O.D.
-
Reem Z. Renno, M.D.
-
Joel S. Cohen, M.D.
-
Judith Tova Feigon, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2058986 | 1960 Eye Surgeons, PA | Certificate of waiver | May 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050128000735 | TX | Part B Supplier - Clinic/Group Practice | 0749230514 |
Receives reassigned benefits from 7 practitioners Practice locations: Cypress, TX; Houston, TX |
National Provider Directory
Locations
9645 Barker Cypress Rd
Ste 120
Cypress, TX 77433
Phone (832) 678-4560
21216 Northwest Fwy
Ste 340
Cypress, TX 77429
Phone (281) 970-5346
9645 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 256-1456
13333 Dotson Rd
Ste 200
Houston, TX 77070
Phone (281) 890-1784
10425 Huffmeister Rd
Ste 470
Houston, TX 77065
Phone (281) 970-5346
13300 Hargrave Rd
Ste 300
Houston, TX 77070
Phone (281) 357-0111
Interoperability endpoints
- https://app.meldrx.com/api/fhir/YRFOGVAF
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
13333 Dotson Rd Ste 200
Houston, TX 77070-4305
Mailing address
13333 Dotson Rd Ste 200
Houston, TX 77070-4305
Phone (281) 890-1784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2607764 | Other | AETNA PPO | |
| 0054ER | Other | TX | BC/BS OF TEXAS |
| CH3776 | Other | RR MEDICARE | |
| 081427901 | Medicaid | TX | |
| 2567943 | Other | TX | AETNA HMO |
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All providers in Houston, TX · Ophthalmology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.