Organization Active NPI

Conroe Eye Clinic, LLP

Doing business as Conroe Woodlands Eye Clinic

  • Eyewear Supplier
  • Conroe, TX
National Provider Identifier
1629157599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CONROE EYE CLINIC, LLP
Doing business as
Conroe Woodlands Eye Clinic
Practice address
333 N. Rivershire Dr.
Ste. 160
Conroe, TX 77304-2711
Phone
(936) 441-2020
Fax
(936) 756-0656
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edna Price
Title
Administrator
Phone
(936) 441-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

333 N. Rivershire Dr.
Ste. 160
Conroe, TX 77304-2711

Mailing address

333 N. Rivershire Dr.
Ste. 160
Conroe, TX 77304-2711
Phone (936) 441-2020

Other identifiers 1

IdentifierTypeStateIssuer
0623950001OtherDMERC

Other names 1

  • Conroe Woodlands Eye Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conroe Eye Clinic LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629157599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. RIVERSHIRE DR.",
            "address_2": "STE. 160",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042711",
            "telephone_number": "936-441-2020",
            "fax_number": "936-756-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. RIVERSHIRE DR.",
            "address_2": "STE. 160",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042711",
            "telephone_number": "936-441-2020",
            "fax_number": "936-756-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE EYE CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-441-1440"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0623950001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conroe Woodlands Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.