Organization Active NPI

Friendswood Vision PLLC

  • Optometrist
  • Friendswood, TX
National Provider Identifier
1396009353
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7735-TG Issued in TX
Legal business name
FRIENDSWOOD VISION PLLC
Practice address
132 W Parkwood Ave
Friendswood, TX 77546-5431
Phone
(281) 819-0132
Fax
(832) 934-1161
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Thu Khanh Tran, O.D.NPI 1952680142
Title
Owner/OD
Phone
(281) 819-0132

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 7735-TG TX Primary

Addresses

Primary practice location

132 W Parkwood Ave
Friendswood, TX 77546-5431

Mailing address

132 W Parkwood Ave
Friendswood, TX 77546-5431
Phone (281) 819-0132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120905000516 TX Part B Supplier - Clinic/Group Practice 7911154430 Receives reassigned benefits from 1 practitioner
Practice locations: Friendswood, TX

National Provider Directory

National Provider Directory

Locations

132 W Parkwood Ave
Friendswood, TX 77546
Phone (281) 819-0132

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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1396009353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W PARKWOOD AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465431",
            "telephone_number": "281-819-0132",
            "fax_number": "832-934-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W PARKWOOD AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465431",
            "telephone_number": "281-819-0132",
            "fax_number": "832-934-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSWOOD VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THU",
        "authorized_official_middle_name": "KHANH",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "281-819-0132",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7735-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.