Pearland Texas State Optical, Incorporated

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PEARLAND TEXAS STATE OPTICAL, INCORPORATED

Practice address

3240 Broadway St
Pearland, TX 77581-4502

Phone

(281) 997-2627

Fax

(281) 485-8329

NPI assigned

Mar 28, 2014

Last updated

Mar 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ingrid Hilliard, O.D.NPI 1861549891

Title

Owner

Phone

(281) 997-2627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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.

• Ingrid Hilliard, O.D.

  • Optometrist
  • Pearland, TX
  • NPI 1861549891
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Joseph Delsardo, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1821106196
  Medicare reassignment Care Compare group NPD
• Ashley Marie Walton, O.D.

  • Optometrist
  • Pearland, TX
  • NPI 1225268782
  Medicare reassignment Care Compare group NPD
• Elizabeth Tafolla, OD

  • Optometrist
  • Pearland, TX
  • NPI 1467388637
  NPD (past)

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1447677364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814502",
            "telephone_number": "281-997-2627",
            "fax_number": "281-485-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814502",
            "telephone_number": "281-997-2627",
            "fax_number": "281-485-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND TEXAS STATE OPTICAL, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-997-2627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearland Regional Home Health, LLC (Casa Healthcare)
• Pearland Signature Dentistry
• Pearland Sleep and Wellness LLC
• Pearland Smiles PLLC (Ivy Orthodontics & Family Dentistry)
• Pearland Sunrise Medical Center LLC (First Choice Emergency Room)
• Pearland Therapeutic Services PC
• Pearland Therapeutics LLC
• Pearland Total Bodywork LLC (total bodywork)
• Pearland Total Wellness Clinic, PLLC
• Pearland TX Caregiving LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.