Active NPI
Eye Therapy TX
- Integrative Medicine Physician
- Houston, TX
National Provider Identifier
1598517575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- EYE THERAPY TX
- Practice address
- 14634 Memorial Dr
Houston, TX 77079-7517 - Phone
- (713) 741-7295
- NPI assigned
- Apr 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Supriya Krishnan, OD
- Title
- Owner
- Phone
- (813) 484-9908
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | |||
| Integrative Medicine Physician | 202D00000X | Primary | ||
| Occupational Medicine Physician | 2083X0100X |
Addresses
Primary practice location
14634 Memorial Dr
Houston, TX 77079-7517
Mailing address
14634 Memorial Dr
Houston, TX 77079-7517
Phone (713) 741-7295
Other names 1
- Eye Therapy Vision
National Provider Directory
National Provider DirectoryLocations
14634 Memorial Dr
Houston, TX 77079
Phone (281) 741-7295
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": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1598517575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14634 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770797517",
"telephone_number": "713-741-7295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14634 MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770797517",
"telephone_number": "713-741-7295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE THERAPY TX",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "KRISHNAN",
"authorized_official_first_name": "SUPRIYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-484-9908",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Therapy Vision",
"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 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.