Active NPI
My Eye Care LLC
- Optometrist
- Houston, TX
National Provider Identifier
1639899792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MY EYE CARE LLC
- Practice address
- 12620 Woodforest Blvd Ste 140
Houston, TX 77015-3561 - Phone
- (281) 540-7040
- NPI assigned
- Aug 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vang Pham
- Title
- Owner/ President
- Phone
- (832) 814-2344
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
12620 Woodforest Blvd Ste 140
Houston, TX 77015-3561
Mailing address
PO Box 832
Friendswood, TX 77549-0832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12620 Woodforest Blvd
Ste 140
Houston, TX 77015
Phone (281) 540-7040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houston, TX
- NPI 1639341498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1639899792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 832",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775490832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12620 WOODFOREST BLVD STE 140",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770153561",
"telephone_number": "281-540-7040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-30",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "VANG",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "832-814-2344"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.