NPIMap

Organization Active NPI

Maxwell a. Olumba, O.D., P.a.

Doing business as Corinthian Pointe TSO

  • Optometrist
  • Houston, TX
National Provider Identifier
1407184740
Registry record updated Aug 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05955TG Issued in TX
Legal business name
MAXWELL A. OLUMBA, O.D., P.A.
Doing business as
Corinthian Pointe TSO
Practice address
5505 W Orem Dr Ste 400
Houston, TX 77085-1276
Phone
(713) 487-2020
Fax
(713) 487-2025
NPI assigned
Nov 24, 2009
Last updated
Aug 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2011

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

Authorized official

Name
Dr. Maxwell A Olumba, O.D.NPI 1194709741
Title
President/Owner
Phone
(832) 721-8697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05955TG TX Primary

Addresses

Primary practice location

5505 W Orem Dr Ste 400
Houston, TX 77085-1276

Mailing address

5505 W Orem Dr
Suite #400
Houston, TX 77085-1276
Phone (713) 487-2020

Other identifiers 1

IdentifierTypeStateIssuer
209046601MedicaidTX

Other names 1

  • Corinthian Pointe TSO Doing business as

National Provider Directory

National Provider Directory

Locations

5505 W Orem Dr
Ste 400
Houston, TX 77085
Phone (713) 487-2020

Practitioners & affiliated clinicians

Practitioners 4

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": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313884800000",
    "number": "1407184740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W OREM DR",
            "address_2": "SUITE #400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851276",
            "telephone_number": "713-487-2020",
            "fax_number": "713-487-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W OREM DR STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851276",
            "telephone_number": "713-487-2020",
            "fax_number": "713-487-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL A. OLUMBA, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2011-08-21",
        "status": "A",
        "authorized_official_last_name": "OLUMBA",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "832-721-8697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05955TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209046601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corinthian Pointe TSO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2011; 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.