2020 Vision, PLLC
Organization Active NPI Optometrist · Spring, TX
NPI 1477025237 · NPPES record last updated Dec 18, 2018
Key facts
- NPI
- 1477025237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 2020 VISION, PLLC
- Practice address
- 25640 Kuykendahl Rd
Suite H
Spring, TX 77373 - Phone
- (281) 507-4375
- NPI assigned
- Dec 18, 2018
- Organization subpart
- No
Authorized official
- Name
- Mahdokht Davoodi, OD
- Title
- Dr
- Phone
- (281) 507-4375
Practitioners 1
-
Mahdokht Davoodi, O.D., M.S.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190328002424 | TX | Part B Supplier - Clinic/Group Practice | 6800136839 |
Receives reassigned benefits from 1 practitioner Practice locations: Tomball, TX |
National Provider Directory
Locations
25640 Kuykendahl Rd
Ste G
Tomball, TX 77375
Phone (346) 808-7342
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
25640 Kuykendahl Rd
Suite H
Spring, TX 77373
Mailing address
25640 Kuykendahl Rd
Suite H
Spring, TX 77373
Phone (281) 507-4375
Other names
- Today's Vision Augusta Pines
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.