Organization Active NPI

Infinite Vision, PLLC

  • Optometrist
  • Huntsville, TX
National Provider Identifier
1427275064
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6220TG Issued in TX
Legal business name
INFINITE VISION, PLLC
Practice address
141 Interstate 45 S
Suite a
Huntsville, TX 77340-4243
Phone
(936) 295-2273
Fax
(936) 295-2297
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Michael P. Hyde, O.D.
Title
President
Phone
(936) 295-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6220TG TX Primary

Addresses

Primary practice location

141 Interstate 45 S
Suite a
Huntsville, TX 77340-4243

Mailing address

34 Raindance CT
The Woodlands, TX 77385-3699
Phone (936) 295-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060126000984 TX Part B Supplier - Clinic/Group Practice 5698789832 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, TX

National Provider Directory

National Provider Directory

Locations

141 Interstate 45 S
Ste A
Huntsville, TX 77340
Phone (409) 886-2015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1427275064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 RAINDANCE CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773853699",
            "telephone_number": "936-295-2273",
            "fax_number": "936-295-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 INTERSTATE 45 S",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404243",
            "telephone_number": "936-295-2273",
            "fax_number": "936-295-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-295-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6220TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.