Active NPI
Eyes Over Texas Eye Care, P.a.
- Ophthalmology Physician
- Katy, TX
National Provider Identifier
1376775684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F4680
- Legal business name
- EYES OVER TEXAS EYE CARE, P.A.
- Practice address
- 21318 Provincial Blvd
Katy, TX 77450-7580 - Phone
- (281) 398-0747
- Fax
- (281) 398-9825
- NPI assigned
- Aug 20, 2009
- 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
- Randolph P Whitford, M.D.
- Title
- President
- Phone
- (281) 398-0747
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | F4680 | TX | Primary |
Addresses
Primary practice location
21318 Provincial Blvd
Katy, TX 77450-7580
Mailing address
21318 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 398-0747
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00F84G | Other | TX | BLUE CROSS BLUE SHIELD |
| 131630903 | Medicaid | TX | |
| 180024649 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21318 Provincial Blvd
Katy, TX 77450
Phone (281) 398-0747
1106 Golfview Dr
Richmond, TX 77469
Phone (281) 344-9191
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Katy, TX
- NPI 1144220104
-
- Optometrist
- Katy, TX
- NPI 1114156296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1376775684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21318 PROVINCIAL BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774507580",
"telephone_number": "281-398-0747",
"fax_number": "281-398-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21318 PROVINCIAL BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774507580",
"telephone_number": "281-398-0747",
"fax_number": "281-398-9825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYES OVER TEXAS EYE CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-20",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "WHITFORD",
"authorized_official_first_name": "RANDOLPH",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-398-0747",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "F4680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00F84G",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131630903",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180024649",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.