Organization Active NPI

Polyanna de la Garza Optometrist PLLC

Doing business as Generations Family Eyecare

  • Optometrist
  • Houston, TX
National Provider Identifier
1356962666
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
POLYANNA DE LA GARZA OPTOMETRIST PLLC
Doing business as
Generations Family Eyecare
Practice address
22438 Tomball Parkway
Houston, TX 77070
Phone
(281) 925-7576
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Polyanna De la Garza, ODNPI 1538294376
Title
Owner
Phone
(281) 925-7576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

22438 Tomball Parkway
Houston, TX 77070

Mailing address

9322 Charter Pine St
Houston, TX 77070-2053
Phone (832) 567-8946

Other names 1

  • Generations Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200527003357 TX Part B Supplier - Clinic/Group Practice 6103247218 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

22438 Tomball Pkwy
Houston, TX 77070
Phone (281) 925-7576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1356962666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 CHARTER PINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702053",
            "telephone_number": "832-567-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22438 TOMBALL PARKWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-925-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYANNA DE LA GARZA OPTOMETRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "DE LA GARZA",
        "authorized_official_first_name": "POLYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-925-7576",
        "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": "Generations Family Eyecare",
            "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 Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.