Organization Active NPI

Vision Centers of Houston Willowbrook PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1558426387
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3077TG Issued in TX
Legal business name
VISION CENTERS OF HOUSTON WILLOWBROOK PLLC
Practice address
17282 S.H. 249, F.M. 1960
Houston, TX 77064
Phone
(281) 995-9999
Fax
(713) 995-0548
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Amy Parker, OD
Title
Authorized Official
Phone
(832) 764-7809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3077TG TX Primary

Addresses

Primary practice location

17282 S.H. 249, F.M. 1960
Houston, TX 77064

Mailing address

17282 S.H. 249, F.M. 1960
Houston, TX 77064
Phone (281) 995-9999

Other identifiers 1

IdentifierTypeStateIssuer
3077TGOtherTXTEXAS OPTOMETRY LICENSE

Other names 2

  • MOES R NASSER OD PC Former legal business name
  • FAMILY EYE CENTER Other name

National Provider Directory

National Provider Directory

Locations

17282 Tomball Pkwy
Houston, TX 77064

17282 State Highway 249
#249
Houston, TX 77064

Practitioners & affiliated clinicians

Practitioners 1

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1558426387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17282 S.H. 249, F.M. 1960",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77064",
            "telephone_number": "281-995-9999",
            "fax_number": "713-995-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17282 S.H. 249, F.M. 1960",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77064",
            "telephone_number": "281-995-9999",
            "fax_number": "713-995-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTERS OF HOUSTON WILLOWBROOK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-764-7809",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3077TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "3077TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOES R NASSER OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "FAMILY EYE CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FAMILY EYE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 19, 2021; 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.