Organization Active NPI

Grand Eye Care

  • Optometrist
  • Richmond, TX
National Provider Identifier
1639633753
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRAND EYE CARE
Practice address
4828 Waterview Town Center
Suite 300
Richmond, TX 77406
Phone
(832) 224-2667
Fax
(832) 408-7935
NPI assigned
Jan 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Jennifer Bui, OD
Title
Optometrist
Phone
(832) 224-2667

Specialties & licenses 1

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

Addresses

Primary practice location

4828 Waterview Town Center
Suite 300
Richmond, TX 77406

Mailing address

4828 Waterview Town Center Dr Ste 300
Richmond, TX 77407-2385
Phone (832) 224-2667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190829000133 TX Part B Supplier - Clinic/Group Practice 1658614656 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Locations

4828 Waterview Town Center Dr
Ste 300
Richmond, TX 77407
Phone (322) 242-6678

4828 Waterview Town Center Dr
Richmond, TX 77407
Phone (832) 224-2667

Practitioners & affiliated clinicians

Practitioners 1

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": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1639633753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 WATERVIEW TOWN CENTER DR STE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072385",
            "telephone_number": "832-224-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 WATERVIEW TOWN CENTER",
            "address_2": "SUITE 300",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77406",
            "telephone_number": "832-224-2667",
            "fax_number": "832-408-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "832-224-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.