Organization Active NPI

Mark R Richardson RPH OD PC

  • Optometrist
  • Humble, TX
National Provider Identifier
1407183098
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4204TG Issued in TX
Legal business name
MARK R RICHARDSON RPH OD PC
Practice address
3103 FM 1960 Rd W
Suite V
Humble, TX 77338-3382
Phone
(281) 443-0340
Fax
(281) 443-0340
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Mark Richardson
Title
President
Phone
(281) 443-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4204TG TX Primary

Addresses

Primary practice location

3103 FM 1960 Rd W
Suite V
Humble, TX 77338-3382

Mailing address

3103 FM 1960 Rd W
Suite V
Humble, TX 77338-3382
Phone (281) 443-0340

National Provider Directory

National Provider Directory

Locations

23561 Highway 59
Porter, TX 77365
Phone (281) 354-5125

23110 Kuykendahl Rd
Ste 100
Tomball, TX 77375
Phone (832) 717-3937

Practitioners & affiliated clinicians

Practitioners 3

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": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1407183098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 FM 1960 RD W",
            "address_2": "SUITE V",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383382",
            "telephone_number": "281-443-0340",
            "fax_number": "281-443-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 FM 1960 RD W",
            "address_2": "SUITE V",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383382",
            "telephone_number": "281-443-0340",
            "fax_number": "281-443-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R RICHARDSON RPH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-443-0340"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4204TG",
            "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 Nov 3, 2009; 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.