Active NPI
Khalil N Marcha, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1306925573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2085T
- Practice address
- 12122 Greenspoint Dr
Houston, TX 77060-2002 - Phone
- (281) 875-5439
- Fax
- (281) 875-2266
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2085T | TX | Primary |
Addresses
Primary practice location
12122 Greenspoint Dr
Houston, TX 77060-2002
Mailing address
12122 Greenspoint Dr
Houston, TX 77060-2002
Phone (281) 875-5439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 760025191 | Other | TX | TAX IDENTIFICATION # |
| 0935025-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2085T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1306925573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12122 GREENSPOINT DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602002",
"telephone_number": "281-875-5439",
"fax_number": "281-875-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12122 GREENSPOINT DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602002",
"telephone_number": "281-875-5439",
"fax_number": "281-875-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHA",
"first_name": "KHALIL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2085T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION #",
"identifier": "760025191",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0935025-02",
"state": "TX"
}
],
"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 Oct 21, 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.