Kingwood Family Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KINGWOOD FAMILY VISION CENTER PLLC

Practice address

25 N Main St
Kingwood, TX 77339-3710

Phone

(281) 361-2020

Fax

(281) 361-0702

NPI assigned

Apr 17, 2012

Organization subpart

No

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

Authorized official

Name

Mark D. Anderson, OD

Title

Optometrist

Phone

(281) 361-2020

Specialties & licenses 1

Addresses

Other names 1

• Family Vision Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1316204282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N MAIN ST",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393710",
            "telephone_number": "281-361-2020",
            "fax_number": "281-361-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MAIN ST",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393710",
            "telephone_number": "281-361-2020",
            "fax_number": "281-361-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD FAMILY VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "281-361-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.