Organization Active NPI

Home Eye Care Associates

  • Optometrist
  • Kingwood, TX
National Provider Identifier
1427325893
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6106TG Issued in TX
Legal business name
HOME EYE CARE ASSOCIATES
Practice address
2818 Whispering Fern CT
Kingwood, TX 77345-2227
Phone
(832) 671-1265
Fax
(888) 818-2152
NPI assigned
Nov 29, 2011
Last updated
Nov 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Michael Philip Sorensen, O.D.NPI 1891863551
Title
Optometrist
Phone
(832) 671-1265

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
Optometrist 152W00000X 6106TG TX Primary

Addresses

Primary practice location

2818 Whispering Fern CT
Kingwood, TX 77345-2227

Mailing address

2818 Whispering Fern CT
Kingwood, TX 77345-2227
Phone (832) 671-1265

Other identifiers 2

IdentifierTypeStateIssuer
288690501MedicaidTX
83282QOtherTXBCBSTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000215 TX Part B Supplier - Clinic/Group Practice 8921265141 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

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": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1427325893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 WHISPERING FERN CT",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452227",
            "telephone_number": "832-671-1265",
            "fax_number": "888-818-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 WHISPERING FERN CT",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452227",
            "telephone_number": "832-671-1265",
            "fax_number": "888-818-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME EYE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "832-671-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6106TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288690501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "83282Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.