Active NPI
Richard Srebro, M.D.
- Ophthalmology Physician
- Magnolia, TX
National Provider Identifier
1528337938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F0012
- Practice address
- 5022 Ranch Hill Dr
Magnolia, TX 77354-5046 - Phone
- (972) 897-3628
- NPI assigned
- Dec 14, 2011
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | F0012 | TX | Primary |
Addresses
Primary practice location
5022 Ranch Hill Dr
Magnolia, TX 77354-5046
Mailing address
5022 Ranch Hill Dr
Magnolia, TX 77354-5046
Phone (972) 897-3628
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0012 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1528337938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 RANCH HILL DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773545046",
"telephone_number": "972-897-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 RANCH HILL DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773545046",
"telephone_number": "972-897-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SREBRO",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "F0012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
- Southern Wellness Chiropractic PLLC
- Sarah Spann
- Speech Magnolias, PLLC
- Alexis Squires, PT
- Gary Lee Squyres, DDS
- St Nicholas Project, Inc (St Nicholas - Home Health)
- Martaya St. John
- Jeffrey Joseph Stachowiak
- Stagecoach Children's Dental Center
- Stagecoach Pediatric Dentistry PLLC (Stagecoach Children's Dental Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.