NPIMap

Organization Active NPI

Memorial 2020 PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1386294189
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MEMORIAL 2020 PLLC
Practice address
14634 Memorial Dr
Houston, TX 77079-7517
Phone
(281) 741-7295
NPI assigned
Sep 13, 2019
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Supriya KrishnanNPI 1396298428
Title
Ceo
Phone
(281) 741-7295

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X

Addresses

Primary practice location

14634 Memorial Dr
Houston, TX 77079-7517

Mailing address

14634 Memorial Dr
Houston, TX 77079-7517
Phone (281) 741-7295

Other practice location 1

1614 Highway 36
Sealy, TX 77474-7124
Phone (281) 404-9191

Other practice location 2

12029 N Grand Pkwy E Ste 200A
New Caney, TX 77357-1868
Phone (713) 662-2035

Other practice location 3

12512 Memorial Dr Ste A
Houston, TX 77024-6008
Phone (713) 324-8888

Other practice location 4

2025 S Southwest Loop 323
Tyler, TX 75701-0763
Phone (903) 446-7482

Other practice location 5

132 Southmore Ave
Pasadena, TX 77502-1018
Phone (281) 445-2021

Other practice location 6

1200 W Main St Ste A
Gun Barrel City, TX 75156-5320
Phone (903) 303-5998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191115001078 TX Part B Supplier - Clinic/Group Practice 0143652990 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Gun Barrel City, TX; Tyler, TX; Sealy, TX; Pasadena, TX; New Caney, TX; Houston, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Memorial 2020 PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 W Main St
Ste A
Gun Barrel City, TX 75156
Phone (903) 303-5998

14634 Memorial Dr
Houston, TX 77079
Phone (281) 741-7295

132 Southmore Ave
Pasadena, TX 77502
Phone (281) 445-2021

2025 Ssw Loop 323
Tyler, TX 75701
Phone (903) 303-5998

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1386294189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14634 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797517",
            "telephone_number": "281-741-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14634 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797517",
            "telephone_number": "281-741-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1614 Highway 36",
            "address_purpose": "LOCATION",
            "city": "Sealy",
            "state": "TX",
            "postal_code": "774747124",
            "country_code": "US",
            "telephone_number": "281-404-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12029 N Grand Pkwy E Ste 200A",
            "address_purpose": "LOCATION",
            "city": "New Caney",
            "state": "TX",
            "postal_code": "773571868",
            "country_code": "US",
            "telephone_number": "713-662-2035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12512 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770246008",
            "country_code": "US",
            "telephone_number": "713-324-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 S Southwest Loop 323",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757010763",
            "country_code": "US",
            "telephone_number": "903-446-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Southmore Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775021018",
            "country_code": "US",
            "telephone_number": "281-445-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751565320",
            "country_code": "US",
            "telephone_number": "903-303-5998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMORIAL 2020 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SUPRIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-741-7295"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2026; 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.