Med Southwest, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MED SOUTHWEST, PLLC

Practice address

14637 Memorial Dr Ste D
Houston, TX 77079-7522

Phone

(832) 770-4926

Fax

(281) 741-4991

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Med Southwest PLLC154 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Med Southwest PLLC

  • Optometrist
  • Beaumont, TX
  • NPI 1558900373
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Ennis, TX
  • NPI 1497600498
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Dallas, TX
  • NPI 1538014295
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Northlake, TX
  • NPI 1538831854
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Tyler, TX
  • NPI 1548087273
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Dallas, TX
  • NPI 1548878671
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Dripping Springs, TX
  • NPI 1568079838
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Flower Mound, TX
  • NPI 1568094027
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Fort Worth, TX
  • NPI 1588203434
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Lewisville, TX
  • NPI 1588317127
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Dallas, TX
  • NPI 1588333199
  NPD tax ID
• Med Southwest, PLLC

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry L Latham, O.D.

  • Optometrist
  • Bedford, TX
  • NPI 1184616831
  NPD
• Timothy Joseph Leach, OD

  • Optometrist
  • Dripping Springs, TX
  • NPI 1396746491
  NPD
• Lori Zlatkis Shulman, O.D.

  • Optometrist
  • Katy, TX
  • NPI 1144295502
  NPD

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653782400000",
    "number": "1619630308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14637 MEMORIAL DR STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797522",
            "telephone_number": "832-770-4926",
            "fax_number": "281-741-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SOUTHWEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC
• Med Southwest, PLLC

• All providers in Houston, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.