Organization Active NPI

Eyecare Group LLC

Doing business as Bayshore Optical

  • Optometrist
  • Pasadena, TX
National Provider Identifier
1417187436
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE GROUP LLC
Doing business as
Bayshore Optical
Practice address
3917 Shaver St
Pasadena, TX 77504-2603
Phone
(713) 941-6662
NPI assigned
Jul 24, 2009
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Mrs. Van Huynh
Title
Manager
Phone
(713) 944-4828

Specialties & licenses 1

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

Addresses

Primary practice location

3917 Shaver St
Pasadena, TX 77504-2603

Mailing address

5150 Crenshaw Rd Unit 4
Pasadena, TX 77505-3094
Phone (713) 944-4828

Other identifiers 1

IdentifierTypeStateIssuer
149068202MedicaidTX

Other names 1

  • BAYSHORE OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

5150 Crenshaw Rd
Unit 4
Pasadena, TX 77505

Practitioners & affiliated clinicians

Practitioners 1

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": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1417187436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CRENSHAW RD UNIT 4",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053094",
            "telephone_number": "713-944-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 SHAVER ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042603",
            "telephone_number": "713-941-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "VAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-944-4828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149068202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSHORE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.