Individual provider Active NPI

Kevin B Harrison, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1447292610
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6074TG Issued in TX
Practice address
700 Town and Country Blvd
Suite 2460
Houston, TX 77024-3939
Phone
(713) 984-9144
Fax
(713) 461-9858
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6074TG TX Primary

Addresses

Primary practice location

700 Town and Country Blvd
Suite 2460
Houston, TX 77024-3939

Mailing address

700 Town and Country Blvd
Suite 2460
Houston, TX 77024-3939
Phone (713) 984-9144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000549 TX Practitioner - Optometry 1355347998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harone, PAGroup PAC ID 2365448909, 5 clinicians

Practice addresses (Care Compare)

650 W Bough LN
Suite 120
Houston, TX 77024-4098
Phone (713) 984-9144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6074TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harone, PA Optometrist CurrentSince May 1, 2002 Accepting new patients
Dr Bruce a Hoff, PC Optometrist Past Accepting new patients

Locations

700 Town and Country Blvd
Ste 2460
Houston, TX 77024
Phone (713) 984-9144

650 W Bough Ln
Ste 120
Houston, TX 77024
Phone (713) 973-2020

25242 Kingsland Blvd
Katy, TX 77494
Phone (281) 644-2010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1447292610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TOWN AND COUNTRY BLVD",
            "address_2": "SUITE 2460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243939",
            "telephone_number": "713-984-9144",
            "fax_number": "713-461-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TOWN AND COUNTRY BLVD",
            "address_2": "SUITE 2460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243939",
            "telephone_number": "713-984-9144",
            "fax_number": "713-461-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KEVIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6074TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.