Wayne Maltz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2671T Issued in TX

Practice address

5774 FM 1960 Rd W
Houston, TX 77069-4204

Phone

(281) 440-5887

Fax

(281) 440-0368

NPI assigned

Jun 12, 2006

Last updated

Sep 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Wayne Maltz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Champions Eyecare PC

  dba Texas State Optical of Champions Village

  • Optometrist
  • Houston, TX
  • NPI 1063639698
  Authorized official Same address or phone
• Complete Eyecare PC

  • Optometrist
  • Houston, TX
  • NPI 1730586454
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1457393688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "281-440-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "281-440-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTZ",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2671T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "2671T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAYNE",
            "last_name": "MALTZ",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anais Malpica, M.D.
• Sondera Malry
• Lynn M. Malseed, MD
• Joseph Aaron Malsky, M.D.
• Alyssa Maltby, APRN
• Andrew B. Malveaux Sr., MSW
• Jada Malveaux
• Janeca Nicole Malveaux, PHARM.D.
• Michelle R Malveaux
• Sanjana Malviya

• 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 Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.