Organization Active NPI

Two C Eye Care, PLLC

  • Optometrist
  • Manvel, TX
National Provider Identifier
1619530292
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TWO C EYE CARE, PLLC
Practice address
19433 Morris Ave
Ste 110
Manvel, TX 77578
Phone
(346) 978-0713
NPI assigned
Apr 18, 2019
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Jerry CaoNPI 1083095921
Title
Optometrist
Phone
(346) 978-0713

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 1

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

Addresses

Primary practice location

19433 Morris Ave
Ste 110
Manvel, TX 77578

Mailing address

2825 Parkside Village CT
Pearland, TX 77581-3811
Phone (346) 978-0713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191021000549 TX Part B Supplier - Clinic/Group Practice 3870824055 Receives reassigned benefits from 2 practitioners
Practice locations: Manvel, TX

National Provider Directory

National Provider Directory

Locations

19433 Highway 6
Manvel, TX 77578

19433 Morris Ave
Ste 110
Manvel, TX 77578
Phone (346) 978-0713

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": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1619530292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 PARKSIDE VILLAGE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813811",
            "telephone_number": "346-978-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19433 MORRIS AVE",
            "address_2": "STE 110",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "77578",
            "telephone_number": "346-978-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO C EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "346-978-0713"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.