Oculus Missouri City, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OCULUS MISSOURI CITY, LLC

Practice address

6215 Highway 6 Ste 300
Missouri City, TX 77459-4742

Phone

(281) 402-0990

Fax

(561) 828-8367

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Managaer

Phone

(561) 433-6009

Specialties & licenses 1

Addresses

Other names 1

• My Eye Lab Doing business as

Tax ID family

My Eye Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oculus Missouri City, LLC

  • Optometrist
  • Spring, TX
  • NPI 1356800817
  NPD tax ID

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1417416876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20115 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HIGHWAY 6 STE 300",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594742",
            "telephone_number": "281-402-0990",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS MISSOURI CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGAER",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eye Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abimbola Brittany Obi, FNP
• Ethel Obioha, FNP-BC
• Uwem Obot, MS. MA. NCC. LPC
• Akudo U Obute
• Alyanna Ocampo
• Ebele S Odafi-Kelsey, LVN
• Oyinade Odia, MD
• Ralph U Odigbo
• Ngozika Odum
• Grace Modupe Oduntan, FNP

• Eyewear Supplier in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.