Enclave Vision Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7712TG Issued in TX

Legal business name

ENCLAVE VISION ASSOCIATES PLLC

Practice address

1140 Eldridge Pkwy
Ste 120
Houston, TX 77077-2543

Phone

(713) 410-9000

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Brandi N Montgomery, O.D.NPI 1205124732

Title

Owner

Phone

(806) 676-1713

Specialties & licenses 1

Addresses

Other names 1

• Enclave Vision Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Montgomery, O.D.

  • Pediatric Optometrist
  • Houston, TX
  • NPI 1205124732
  Medicare reassignment Care Compare group NPD Authorized official
• Kathryn Hengst, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1962790949
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1649548447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ELDRIDGE PKWY",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ELDRIDGE PKWY",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772543",
            "telephone_number": "713-410-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCLAVE VISION ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-676-1713",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7712TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enclave Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Omar Encarnacion, M.D.
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• Encinas Enterprises LLC
• Linda Thuy Enciso, O.D.
• Encompass 2
• Encompass Health Rehabilitation Hospital of Cypress, LLC
• Encompass Health Rehabilitation Hospital of Houston, LLC
• Encompass Health Rehabilitation Hospital the Vintage, LLC
• Encompass Healthcare Management LLC

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.