NPIMap

Organization Active NPI

Pearland Professional Vision PLLC

  • Optometrist
  • Pearland, TX
National Provider Identifier
1598056855
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7400TG Issued in TX
Legal business name
PEARLAND PROFESSIONAL VISION PLLC
Practice address
9215 Broadway St
Suite 119
Pearland, TX 77584-8987
Phone
(281) 997-2015
Fax
(281) 997-2016
NPI assigned
Apr 21, 2011
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Dr. Amie Sussan GisbertNPI 1053633248
Title
Owner-Optometrist
Phone
(281) 997-2015

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
Optometrist 152W00000X 7400TG TX Primary

Addresses

Primary practice location

9215 Broadway St
Suite 119
Pearland, TX 77584-8987

Mailing address

9215 Broadway St
Suite 119
Pearland, TX 77584-8987
Phone (281) 997-2015

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1598056855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 BROADWAY ST",
            "address_2": "SUITE 119",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848987",
            "telephone_number": "281-997-2015",
            "fax_number": "281-997-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 BROADWAY ST",
            "address_2": "SUITE 119",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848987",
            "telephone_number": "281-997-2015",
            "fax_number": "281-997-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND PROFESSIONAL VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "GISBERT",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "SUSSAN",
        "authorized_official_title_or_position": "OWNER-OPTOMETRIST",
        "authorized_official_telephone_number": "281-997-2015",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7400TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.