Active NPI
Barun Kumar Hazra, O.D.
- Optometrist
- Stafford, TX
National Provider Identifier
1528120672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4480T
- Practice address
- 11210 W Airport Blvd
Suite # a
Stafford, TX 77477-3000 - Phone
- (281) 575-0757
- Fax
- (281) 575-9115
- NPI assigned
- Dec 15, 2006
- Last updated
- Mar 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4480T | TX | Primary |
Addresses
Primary practice location
11210 W Airport Blvd
Suite # a
Stafford, TX 77477-3000
Mailing address
6654 Southwest Fwy # a
Houston, TX 77074-2210
Phone (281) 450-0154
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4480T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mai Q Nguyen OD PC | Optometrist | Past | Accepting new patients |
| Elizabeth Hoang, OD, PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Stafford, TX
- NPI 1821988890
-
- Optometrist
- Stafford, TX
- NPI 1649680463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1528120672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6654 SOUTHWEST FWY # A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742210",
"telephone_number": "281-450-0154",
"fax_number": "888-872-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11210 W AIRPORT BLVD",
"address_2": "SUITE # A",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773000",
"telephone_number": "281-575-0757",
"fax_number": "281-575-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZRA",
"first_name": "BARUN",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4480T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.