Katy Vision Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

04038TG Issued in TX

Legal business name

KATY VISION ASSOCIATES, PA

Practice address

23702 Westheimer Pkwy
Suite C
Katy, TX 77494-3605

Phone

(281) 391-2020

Fax

(281) 391-0786

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Shiroz Virani, O.D.

Title

President

Phone

(281) 391-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1376623231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23702 WESTHEIMER PKWY",
            "address_2": "SUITE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943605",
            "telephone_number": "281-391-2020",
            "fax_number": "281-391-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23702 WESTHEIMER PKWY",
            "address_2": "SUITE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943605",
            "telephone_number": "281-391-2020",
            "fax_number": "281-391-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY VISION ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "VIRANI",
        "authorized_official_first_name": "SHIROZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-391-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04038TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0057FG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "04038TG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179586602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.