M & M Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4123TG Issued in TX

Legal business name

M & M OPTICAL INC

Doing business as

Falcon Pass Vision Center

Practice address

2409 Falcon Pass
Suite 180
Houston, TX 77062-6238

Phone

(281) 461-3937

Fax

(281) 461-6084

NPI assigned

Dec 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Marie Maxwell-Malik, O.D.

Title

Dr/Optometrist

Phone

(281) 461-3937

Specialties & licenses 5

Addresses

Other names 1

• FALCON PASS VISION CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Russell Malik, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1588667869
  Medicare reassignment Care Compare group NPD
• Lisa Marie Maxwell, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1346390184
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1437331477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 FALCON PASS",
            "address_2": "SUITE 180",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770626238",
            "telephone_number": "281-461-3937",
            "fax_number": "281-461-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 FALCON PASS",
            "address_2": "SUITE 180",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770626238",
            "telephone_number": "281-461-3937",
            "fax_number": "281-461-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MAXWELL-MALIK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DR/OPTOMETRIST",
        "authorized_official_telephone_number": "281-461-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4123TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "4123TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "4123TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "4123TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "4123TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALCON PASS VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.