Seabrook Eye Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

8948T.G Issued in TX

Legal business name

SEABROOK EYE CENTER PLLC

Doing business as

Seabrook Eye Center

Practice address

603 Kirby Rd
Seabrook, TX 77586-5202

Phone

(832) 753-4073

NPI assigned

Jul 12, 2018

Last updated

Oct 31, 2020By 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. Ellen Fandry, ODNPI 1205288057

Title

Owner

Phone

(832) 753-4073

Specialties & licenses 1

Addresses

Other names 1

• Seabrook Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Ellen Fandry, O.D.

  • Optometrist
  • The Woodlands, TX
  • NPI 1205288057
  Medicare reassignment Care Compare group NPD Authorized official
• Khanh Dan

  • Optometrist
  • Port Arthur, TX
  • NPI 1851904296
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1497231435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 KIRBY RD",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775865202",
            "telephone_number": "832-753-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 KIRBY RD",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775865202",
            "telephone_number": "832-753-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABROOK EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "FANDRY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-753-4073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8948T.G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seabrook Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jazblaydi Rojas Sellers
• Nicholas Ryan Ruppert, D.C.
• Elize Sanchez
• Alison Beth Schwalenberg, SA-C
• Douglas N Scott, LSA
• Seabrook Therapy & Assessment Center PLLC
• Patricia Golden Shields, P.T.
• Jennifer Lee Slataper, LPC
• Carla Smith, M.A., CCC-SLP
• Francisco Sosa Romero

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.