Active NPI
Samuel Gold OD Inc.
- Optometrist
- Houston, TX
National Provider Identifier
1366879868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1671
- Legal business name
- SAMUEL GOLD OD INC.
- Practice address
- 711 Shotwell St
Houston, TX 77020-4813 - Phone
- (713) 673-6550
- Fax
- (713) 673-6900
- NPI assigned
- Sep 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Gold, O. D.
- Title
- Optometrist/Owner
- Phone
- (713) 673-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09317605985 | Medicaid | TX |
Other names 1
- Texas State Optical
National Provider Directory
National Provider DirectoryLocations
711 Shotwell St
Houston, TX 77020
Phone (713) 673-6355
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houston, TX
- NPI 1083580146
-
- Optometrist
- Houston, TX
- NPI 1225040678
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09317605985",
"state": "TX"
}
],
"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.