Organization Active NPI

Martha Diaz, O.D., P.C.

Doing business as Northside Family Eye Care

  • Optometrist
  • Houston, TX
National Provider Identifier
1568500916
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARTHA DIAZ, O.D., P.C.
Doing business as
Northside Family Eye Care
Practice address
3305 Orlando St
Houston, TX 77093-4854
Phone
(713) 742-5244
NPI assigned
Feb 1, 2007
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Martha Enriqueta Diaz, O.D.
Title
President
Phone
(713) 742-5244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3305 Orlando St
Houston, TX 77093-4854

Mailing address

PO Box 11998
Houston, TX 77293-1998
Phone (281) 467-5524

Other identifiers 1

IdentifierTypeStateIssuer
150971301MedicaidTX

Other names 1

  • NORTHSIDE FAMILY EYE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

3305 Orlando St
Houston, TX 77093
Phone (713) 742-5244

3800 Little York Rd
Ste 500
Houston, TX 77093
Phone (713) 742-5244

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1568500916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11998",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772931998",
            "telephone_number": "281-467-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 ORLANDO ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770934854",
            "telephone_number": "713-742-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA DIAZ, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ENRIQUETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-742-5244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150971301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHSIDE FAMILY EYE CARE",
            "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 Jul 2, 2009; 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.