Individual provider Active NPI

Gerald Murray Sheldon, M.D.

  • Ophthalmology Physician
  • Katy, TX
National Provider Identifier
1548257280
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E9987 Issued in TX
Practice address
750 Westgreen Blvd
Katy, TX 77450-2799
Phone
(713) 580-2500
Fax
(281) 392-8671
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X E9987 TX
Ophthalmology Physician 207W00000X E9987 TX Primary

Addresses

Primary practice location

750 Westgreen Blvd
Katy, TX 77450-2799

Mailing address

18850 S Memorial Dr
Humble, TX 77338-4288
Phone (713) 275-2457

Other identifiers 1

IdentifierTypeStateIssuer
127260106MedicaidTX

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E9987TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center, PA Past Accepting new patients
Mann Eye Center 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1548257280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18850 S MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384288",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WESTGREEN BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502799",
            "telephone_number": "713-580-2500",
            "fax_number": "281-392-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "GERALD",
        "middle_name": "MURRAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "E9987",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E9987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127260106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.