NPIMap

Organization Active NPI

Jeffrey M. Penn O.D. PA

Doing business as Penn Eyecare

  • Optometrist
  • Houston, TX
National Provider Identifier
1588814818
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2867TG Issued in TX
Legal business name
JEFFREY M. PENN O.D. PA
Doing business as
Penn Eyecare
Practice address
17395 Tomball Pkwy
3I-2
Houston, TX 77064-1179
Phone
(281) 894-0011
Fax
(281) 894-7799
NPI assigned
Sep 23, 2008
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Jeffrey M. Penn, O.D.NPI 1952407348
Title
Owner
Phone
(281) 894-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2867TG TX Primary

Addresses

Primary practice location

17395 Tomball Pkwy
3I-2
Houston, TX 77064-1179

Mailing address

17395 Tomball Pkwy
3I-2
Houston, TX 77064-1179
Phone (281) 894-0011

Other names 1

  • Penn Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

17395 Tomball Pkwy
Ste 3I-2
Houston, TX 77064
Phone (281) 894-0011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1588814818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 TOMBALL PKWY",
            "address_2": "3I-2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641179",
            "telephone_number": "281-894-0011",
            "fax_number": "281-894-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 TOMBALL PKWY",
            "address_2": "3I-2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641179",
            "telephone_number": "281-894-0011",
            "fax_number": "281-894-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. PENN O.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-894-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2867TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Eyecare",
            "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 14, 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.