Individual provider Active NPI

Zeinep O. Echetebu, O.D., PH.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1477688752
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5392TG Issued in TX
Practice address
6888 Gulf Fwy Ste 614
Houston, TX 77087-2550
Phone
(713) 641-5353
Fax
(713) 645-1097
NPI assigned
Feb 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE008115P PA
Optometrist 152W00000X 5392TG TX Primary

Addresses

Primary practice location

6888 Gulf Fwy Ste 614
Houston, TX 77087-2550

Mailing address

6888 Gulf Fwy Ste 614
Houston, TX 77087-2550
Phone (713) 641-5353

Other identifiers 18

IdentifierTypeStateIssuer
16319OtherTXCOAST-TO -COAST
35616OtherTXAVESIS
1430233-01MedicaidTX
83089EOtherTXBCBS
TX5392OtherTXEYEMED
30214OtherTXOPTICARE
41318OtherTXSPECTERA
76-0644213OtherTXTRICARE
76-0644213OtherTXINEGRATED HEALTH PLAN
918393OtherTXBLOCK VISION
071379OtherTXLENS EXPRESS
76-0644213OtherTXVSP
76-0644213OtherTXVISION CARE PLAN
14717OtherTXNVA
76-0644213OtherTXPHCS
EC000 984412OtherTXCLARITY VISION
5126OtherTXDAVIS VISION
76-0644213OtherTXSUPERIOR VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
OE008115PPAMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477688752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 GULF FWY STE 614",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770872550",
            "telephone_number": "713-641-5353",
            "fax_number": "713-645-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 GULF FWY STE 614",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770872550",
            "telephone_number": "713-641-5353",
            "fax_number": "713-645-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHETEBU",
        "first_name": "ZEINEP",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "O.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008115P",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5392TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COAST-TO -COAST",
            "identifier": "16319",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "35616",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430233-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83089E",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "TX5392",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "30214",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "41318",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "76-0644213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INEGRATED HEALTH PLAN",
            "identifier": "76-0644213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "918393",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LENS EXPRESS",
            "identifier": "071379",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "76-0644213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION CARE PLAN",
            "identifier": "76-0644213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "14717",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "76-0644213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "EC000 984412",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "5126",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "76-0644213",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.