Organization Active NPI

Gulf Vision, PLLC

  • Optometrist
  • League City, TX
National Provider Identifier
1386871820
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5392TG Issued in TX
Legal business name
GULF VISION, PLLC
Practice address
2640 E League City Pkwy
#121
League City, TX 77573-3368
Phone
(281) 538-0022
Fax
(281) 538-0030
NPI assigned
Jun 11, 2009
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Zeinep O. Echetebu, OD,PHD
Title
Single Member/Owner
Phone
(281) 538-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5392TG TX Primary

Addresses

Primary practice location

2640 E League City Pkwy
#121
League City, TX 77573-3368

Mailing address

2640 E League City Pkwy
#104
League City, TX 77573-3368
Phone (281) 538-0022

Other identifiers 2

IdentifierTypeStateIssuer
2815380022OtherTXVSP
OP2870OtherTXEYE MED

National Provider Directory

National Provider Directory

Locations

2640 E League City Pkwy
Ste 121
League City, TX 77573
Phone (281) 538-0022

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1386871820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY",
            "address_2": "#104",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733368",
            "telephone_number": "281-538-0022",
            "fax_number": "281-538-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY",
            "address_2": "#121",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733368",
            "telephone_number": "281-538-0022",
            "fax_number": "281-538-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "ECHETEBU",
        "authorized_official_first_name": "ZEINEP",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "SINGLE MEMBER/OWNER",
        "authorized_official_telephone_number": "281-538-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD,PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5392TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "2815380022",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "OP2870",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.