Organization Active NPI

Samuel Gold OD Inc.

Doing business as Texas State Optical

  • Optometrist
  • Houston, TX
National Provider Identifier
1366879868
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1671 Issued in TX
Legal business name
SAMUEL GOLD OD INC.
Doing business as
Texas State Optical
Practice address
711 Shotwell St
Houston, TX 77020-4813
Phone
(713) 673-6550
Fax
(713) 673-6900
NPI assigned
Sep 30, 2013
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Samuel Gold, O. D.NPI 1194733030
Title
Optometrist/Owner
Phone
(713) 673-6550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1671 TX Primary

Addresses

Primary practice location

711 Shotwell St
Houston, TX 77020-4813

Mailing address

711 Shotwell St
Houston, TX 77020-4813
Phone (713) 673-6550

Other names 1

  • Texas State Optical Doing business as

National Provider Directory

National Provider Directory

Locations

6328 Telephone Rd
Houston, TX 77087
Phone (713) 644-2375

711 Shotwell St
Houston, TX 77020
Phone (713) 673-6355

Practitioners & affiliated clinicians

Practitioners 3

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": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1366879868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SHOTWELL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770204813",
            "telephone_number": "713-673-6550",
            "fax_number": "713-673-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SHOTWELL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770204813",
            "telephone_number": "713-673-6550",
            "fax_number": "713-673-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL GOLD OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "713-673-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "1671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical",
            "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 Dec 3, 2015; 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.