Organization Active NPI

Home Eye Doc Inc

  • Optometrist
  • Pearland, TX
National Provider Identifier
1487813101
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5342TG Issued in TX
Legal business name
HOME EYE DOC INC
Practice address
11302 Silver Bay CT
Pearland, TX 77584-8404
Phone
(281) 380-6756
Fax
(866) 789-0768
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Dr. Ivan Joseph Srut, O.D.
Title
President
Phone
(281) 380-6756

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5342TG TX Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 6238TG TX

Addresses

Primary practice location

11302 Silver Bay CT
Pearland, TX 77584-8404

Mailing address

11302 Silver Bay CT
Pearland, TX 77584-8404
Phone (281) 380-6756

Other names 1

  • Home Eye Doc Doing business as

National Provider Directory

National Provider Directory

Locations

6633 Hillcroft Ave
Ste 234
Houston, TX 77081
Phone (281) 841-2723

7011 Lozier St
Houston, TX 77021
Phone (281) 841-2723

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1487813101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 SILVER BAY CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848404",
            "telephone_number": "281-380-6756",
            "fax_number": "866-789-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 SILVER BAY CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848404",
            "telephone_number": "281-380-6756",
            "fax_number": "866-789-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME EYE DOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "SRUT",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-380-6756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5342TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6238TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Eye Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.