Individual provider Active NPI

Maha Tufail, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1407354111
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9311 Issued in TX
Practice address
5771 San Felipe St
Houston, TX 77057-3101
Phone
(713) 782-3937
NPI assigned
Jan 28, 2018
Last updated
Jan 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9311 TX Primary

Addresses

Primary practice location

5771 San Felipe St
Houston, TX 77057-3101

Mailing address

8007 Pacific Spring LN
Richmond, TX 77407-4035
Phone (832) 704-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180612000789 TX Practitioner - Optometry 8628323839 Reassigns benefits to 1 organization
I20200929000353 DC Practitioner - Optometry 8628323839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9311TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ehsia Ung Wang OD PA Optometrist CurrentSince Jan 26, 2018 Accepting new patients
Bristol Family Eyecare, PC Optometrist CurrentSince Sep 6, 2022 Accepting new patients
Palmer Eyecare, Inc Optometrist PastSince Apr 9, 2009 Accepting new patients

Locations

14058 Bee Cave Pkwy
Ste A
Bee Cave, TX 78738
Phone (512) 263-2544

900 N Austin Ave
Ste 605
Georgetown, TX 78626
Phone (512) 869-6586

5771 San Felipe St
Houston, TX 77057
Phone (713) 782-3937

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1407354111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 PACIFIC SPRING LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074035",
            "telephone_number": "832-704-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573101",
            "telephone_number": "713-782-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFAIL",
        "first_name": "MAHA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.