Individual provider Active NPI

Denny C Joe, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1629088703
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4823TG Issued in TX
Practice address
4603 FM 1960 West Road
Suite C
Houston, TX 77069
Phone
(281) 893-1233
Fax
(281) 893-1232
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4823TG TX Primary

Addresses

Primary practice location

4603 FM 1960 West Road
Suite C
Houston, TX 77069

Mailing address

24230 Kuykendahl Rd., Suite 260
Tomball, TX 77375-5176
Phone (832) 639-8910

Other identifiers 1

IdentifierTypeStateIssuer
167523301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000466 TX Practitioner - Optometry 8628045879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24230 Kuykendahl Rd
Suite 260
Tomball, TX 77375-5125
Phone (832) 639-8910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4823TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Eye Care, PLLC Optometrist CurrentSince Jun 16, 2014 Accepting new patients

Locations

24230 Kuykendahl Rd
Ste 260
Tomball, TX 77375
Phone (713) 398-4680

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1629088703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24230 KUYKENDAHL RD., SUITE 260",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755176",
            "telephone_number": "832-639-8910",
            "fax_number": "832-639-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 FM 1960 WEST ROAD",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77069",
            "telephone_number": "281-893-1233",
            "fax_number": "281-893-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "DENNY",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4823TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167523301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.