Organization Active NPI

Faz Eyecare

Doing business as Texas State Optical - Spring

  • Optometrist
  • Spring, TX
National Provider Identifier
1649562794
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7443TG Issued in TX
Legal business name
FAZ EYECARE
Doing business as
Texas State Optical - Spring
Practice address
19752 North Fwy Ste B
Spring, TX 77373-5301
Phone
(832) 594-7156
NPI assigned
May 9, 2011
Last updated
May 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Alnaz Fazlalizadeh, O.D.NPI 1992020267
Title
Therapeutic Optometrist/ Owner
Phone
(832) 594-7156

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)CodeLicenseStatePrimary
Optometrist 152W00000X 7443TG TX Primary

Addresses

Primary practice location

19752 North Fwy Ste B
Spring, TX 77373-5301

Mailing address

19752 North Fwy Ste B
Spring, TX 77373-5301
Phone (832) 594-7156

Other names 1

  • Texas State Optical - Spring Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000224 TX Part B Supplier - Clinic/Group Practice 5597919332 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

19752 N Freeway
Ste B
Spring, TX 77373
Phone (281) 288-7026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1649562794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19752 NORTH FWY STE B",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773735301",
            "telephone_number": "832-594-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19752 NORTH FWY STE B",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773735301",
            "telephone_number": "832-594-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZ EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "FAZLALIZADEH",
        "authorized_official_first_name": "ALNAZ",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "832-594-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7443TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical - Spring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.