Organization Active NPI

Premium Eyecare & Associates PLLC

Doing business as Today's Vision Fairfield

  • Optometrist
  • Cypress, TX
National Provider Identifier
1417407982
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7426 Issued in TX
Legal business name
PREMIUM EYECARE & ASSOCIATES PLLC
Doing business as
Today's Vision Fairfield
Practice address
28404 Highway 290
Suite G13
Cypress, TX 77433-4288
Phone
(281) 817-4141
NPI assigned
Oct 9, 2016
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Dr. Candace Marie Pham, O.D.NPI 1477785566
Title
Optometrist/Owner
Phone
(832) 729-9375

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 7426 TX Primary

Addresses

Primary practice location

28404 Highway 290
Suite G13
Cypress, TX 77433-4288

Mailing address

28404 Highway 290
Suite G13
Cypress, TX 77433-5426

Other names 1

  • Today's Vision Fairfield Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170301000480 TX Part B Supplier - Clinic/Group Practice 8921382425 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

28404 NW Freeway
Ste G13
Cypress, TX 77433
Phone (281) 817-4141

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": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1417407982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28404 HIGHWAY 290",
            "address_2": "SUITE G13",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28404 HIGHWAY 290",
            "address_2": "SUITE G13",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334288",
            "telephone_number": "281-817-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM EYECARE & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "832-729-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Vision Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.