Organization Active NPI

M2M Optical PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1538904644
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
M2M OPTICAL PLLC
Practice address
4015 Washington Ave Ste D
Houston, TX 77007-4801
Phone
(832) 800-7259
NPI assigned
Jun 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Brandon Moderhack, OD
Title
Owner
Phone
(815) 404-8690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4015 Washington Ave Ste D
Houston, TX 77007-4801

Mailing address

4015 Washington Ave Ste D
Houston, TX 77007-4801
Phone (832) 800-7259

Other names 3

  • Apollo Vision Haus Doing business as
  • Apollo Vision Haus Houston Doing business as
  • Eye Boutique by Apollo Vision Doing business as

National Provider Directory

National Provider Directory

Locations

4015 Washington Ave
Ste D
Houston, TX 77007
Phone (832) 800-7259

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": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1538904644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 WASHINGTON AVE STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770074801",
            "telephone_number": "832-800-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 WASHINGTON AVE STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770074801",
            "telephone_number": "832-800-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M2M OPTICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "MODERHACK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-404-8690",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Vision Haus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apollo Vision Haus Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Boutique by Apollo Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.