Organization Active NPI

Prestige Eye Care, PLLC

  • Optometrist
  • Humble, TX
National Provider Identifier
1376935437
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6749TG Issued in TX
Legal business name
PRESTIGE EYE CARE, PLLC
Practice address
9665 FM 1960 Bypass Rd W Ste a
Humble, TX 77338-4043
Phone
(281) 548-2222
Fax
(281) 548-0746
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Michael Le, O.D.NPI 1174678874
Title
Owner
Phone
(281) 548-2222

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6749TG TX Primary

Addresses

Primary practice location

9665 FM 1960 Bypass Rd W Ste a
Humble, TX 77338-4043

Mailing address

5908 Maxie St
Houston, TX 77007-3026
Phone (281) 548-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190327000214 TX Part B Supplier - Clinic/Group Practice 2769722875 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Locations

9665 FM 1960 Bypass Rd W
Ste A
Humble, TX 77338
Phone (281) 548-2222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1376935437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 MAXIE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073026",
            "telephone_number": "281-548-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 FM 1960 BYPASS RD W STE A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384043",
            "telephone_number": "281-548-2222",
            "fax_number": "281-548-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-548-2222",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6749TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.