NPIMap

Organization Active NPI

Memorial Eye, PA

  • Optometrist
  • Houston, TX
National Provider Identifier
1548236151
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MEMORIAL EYE, PA
Practice address
9620 Westheimer Rd
Houston, TX 77063-3205
Phone
(713) 975-9393
Fax
(713) 975-1919
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Amelia J. Holbrook, OD
Title
Owner/OD
Phone
(281) 556-5353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X

Addresses

Primary practice location

9620 Westheimer Rd
Houston, TX 77063-3205

Mailing address

9620 Westheimer Rd
Houston, TX 77063-3205
Phone (713) 975-9393

Other identifiers 1

IdentifierTypeStateIssuer
0193799-01MedicaidTX

Other names 1

  • Memorial Eye Doing business as

National Provider Directory

National Provider Directory

Locations

9620 Westheimer Rd
Houston, TX 77063
Phone (713) 636-5392

2687 Wilcrest Dr
Houston, TX 77042
Phone (713) 977-1170

Practitioners & affiliated clinicians

Practitioners 7

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": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1548236151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633205",
            "telephone_number": "713-975-9393",
            "fax_number": "713-975-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633205",
            "telephone_number": "713-975-9393",
            "fax_number": "713-975-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL EYE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "281-556-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193799-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Eye",
            "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 18, 2012; 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.