Hyder Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3183T Issued in TX

Legal business name

HYDER INC

Practice address

515 Bay Area Blvd
Suite 300
Houston, TX 77058-2663

Phone

(281) 488-0066

Fax

(281) 488-0601

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Jerry D Hyder, O.D.NPI 1043334063

Title

Owner/OD

Phone

(281) 488-0066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EYE TRENDS CLEARLAKE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Duane Hyder, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1043334063
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1376815258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BAY AREA BLVD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582663",
            "telephone_number": "281-488-0066",
            "fax_number": "281-488-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BAY AREA BLVD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582663",
            "telephone_number": "281-488-0066",
            "fax_number": "281-488-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "281-488-0066",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3183T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "3183T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE TRENDS CLEARLAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Hyde
• Rosalie Hyde
• Samuel Mayer Hyde, MMSC
• Shelley Hyde
• Janine Hyden, N.P.
• Jerry Duane Hyder, O.D.
• Kulsoom Fatima Hyder
• Sandra Aristea Hyder, ACNPC-AG
• Tehmina Hyder, LCSW
• Hydration Station Beauty & Wellness

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.