Organization Active NPI

Pasadena Eye Associates

  • Ophthalmology Physician
  • Pasadena, TX
National Provider Identifier
1629132675
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PASADENA EYE ASSOCIATES
Practice address
4450 East Sam Houston Parkway South
Suite E
Pasadena, TX 77505-3913
Phone
(713) 473-5715
Fax
(713) 473-3314
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Dr. Scott Eric Segal, M.D.,NPI 1154373942
Title
President
Phone
(713) 473-5715

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4450 East Sam Houston Parkway South
Suite E
Pasadena, TX 77505-3913

Mailing address

4450 East Sam Houston Parkway South
Suite E
Pasadena, TX 77505-3913
Phone (713) 473-5715

Other practice location 1

10555 Pearland Pkwy Ste D
Houston, TX 77089-2676
Phone (713) 991-5522

Other identifiers 3

IdentifierTypeStateIssuer
085350903MedicaidTX
1154373942OtherTXNPI
1285686485OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041019001053 TX Part B Supplier - Clinic/Group Practice 5496716953 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX; Pasadena, TX
O20100930026064 TX DME Supplier - Physician - OphthalmologyDME Supplier - Optician 5496716953 Practice locations: Pasadena, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pasadena Eye Associates4450 E Sam Houston Pkwy S, Pasadena, TX 77505-3950(713) 473-5715 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

901 Curtis Ave
Ste 18
Pasadena, TX 77502

4450 E Sam Houston Pkwy S
Ste E
Pasadena, TX 77505
Phone (713) 473-5714

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1629132675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 EAST SAM HOUSTON PARKWAY SOUTH",
            "address_2": "SUITE E",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053913",
            "telephone_number": "713-473-5715",
            "fax_number": "713-473-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 EAST SAM HOUSTON PARKWAY SOUTH",
            "address_2": "SUITE E",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053913",
            "telephone_number": "713-473-5715",
            "fax_number": "713-473-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10555 Pearland Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770892676",
            "country_code": "US",
            "telephone_number": "713-991-5522",
            "fax_number": "713-991-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PASADENA EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-473-5715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085350903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154373942",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285686485",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.