Individual provider Active NPI

Nancy Lo, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1558779843
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8523 Issued in TX
Practice address
520 Waugh Dr
Houston, TX 77019-2002
Phone
(713) 300-1477
Fax
(713) 583-9920
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8523 TX Primary

Addresses

Primary practice location

520 Waugh Dr
Houston, TX 77019-2002

Mailing address

520 Waugh Dr
Houston, TX 77019-2002
Phone (713) 300-1477

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

State licenses

LicenseStateTypeSpecialty
8523TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theramedic Rehab and Physical Therapy LLC CurrentSince Sep 30, 2019 Accepting new patients
Montrose Eye Care, PLLC Optometrist PastSince Mar 28, 2021 Accepting new patients

Locations

24217 Kingsland Blvd
Katy, TX 77494
Phone (281) 644-2010

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1558779843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WAUGH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192002",
            "telephone_number": "713-300-1477",
            "fax_number": "713-583-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WAUGH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192002",
            "telephone_number": "713-300-1477",
            "fax_number": "713-583-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 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.