NPIMap

Organization Active NPI

Conroe Eye Clinic, LLP

Doing business as (1) Conroe Woodlands Eye Clinic, (2) Woodlands Eye Clinic

  • Ophthalmology Physician
  • Conroe, TX
National Provider Identifier
1497707905
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CONROE EYE CLINIC, LLP
Doing business as
(1) Conroe Woodlands Eye Clinic, (2) Woodlands Eye Clinic
Practice address
333 N Rivershire Dr
Ste. 160
Conroe, TX 77304-0001
Phone
(936) 441-2020
Fax
(936) 756-0656
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Edna Price
Title
Administrator
Phone
(936) 441-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

333 N Rivershire Dr
Ste. 160
Conroe, TX 77304-0001

Mailing address

333 N Rivershire Dr
Ste. 160
Conroe, TX 77304-0001
Phone (936) 441-2020

Other identifiers 3

IdentifierTypeStateIssuer
CP8892OtherRAILROAD
00183KOtherBLUECROSS
0623950001OtherDMERC

Other names 1

  • (1) Conroe Woodlands Eye Clinic, (2) Woodlands Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1497707905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N RIVERSHIRE DR",
            "address_2": "STE. 160",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773040001",
            "telephone_number": "936-441-2020",
            "fax_number": "936-756-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N RIVERSHIRE DR",
            "address_2": "STE. 160",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773040001",
            "telephone_number": "936-441-2020",
            "fax_number": "936-756-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE EYE CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-441-1440"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CP8892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "00183K",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0623950001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(1) Conroe Woodlands Eye Clinic, (2) Woodlands Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.