Oculus Valley Ranch Town Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OCULUS VALLEY RANCH TOWN CENTER, LLC

Practice address

20115 Stuebner Airline Rd
Spring, TX 77379-5430

Phone

(346) 600-9260

Fax

(561) 828-8367

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 433-6009

Specialties & licenses 2

Addresses

Tax ID family

My Eyelab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oculus Valley Ranch Town Center, LLC

  dba My EyeLab

  • Eyewear Supplier
  • New Caney, TX
  • NPI 1881259307
  NPD tax ID

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1336704832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20115 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795430",
            "telephone_number": "346-600-9260",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20115 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795430",
            "telephone_number": "346-600-9260",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS VALLEY RANCH TOWN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oculus Interest XI, LLC
• Oculus Interest XII, LLC (My EyeLab)
• Oculus Interests V, LLC (Oculus Interests V, LLC, My Eye Lab - Spring)
• Oculus Interests V, LLC (Oculus Interests V, LLC, My Eye Lab - Spring)
• Oculus Missouri City, LLC (My Eye Lab)
• Victor A Oderinde, M.D.
• Sumera Odhwani
• Odyssey Adult Daycare
• Laci Oettmeier
• Mathew Offe, C.R.N.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.