Sandra E Collazo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5109TG Issued in TX

Practice address

10488 Old Katy Rd
A
Houston, TX 77043-5106

Phone

(713) 827-9800

Fax

(713) 827-9808

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Sandra E. Collazo, P.C.

  • Optometrist
  • Houston, TX
  • NPI 1932486495
  NPD (past) Authorized official
• Dr Bruce a Hoff, PC

  • Optometrist
  • Houston, TX
  • NPI 1902058373
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659447928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 RIVERLAND LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404374",
            "telephone_number": "713-827-9800",
            "fax_number": "713-827-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10488 OLD KATY RD",
            "address_2": "A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435106",
            "telephone_number": "713-827-9800",
            "fax_number": "713-827-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5109TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101690903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760681065",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles David Collard, M.D.
• Quentin L Collard, M.D.
• Jose Francisco Collazo Colon, MD
• Gabriela Nicole Collazo Velez, PHARMD
• Karla Collazo, LPC
• Stephen Andrew Collazo, LCSW
• Collective Action for Youth
• Collective Psychotherapy, PLLC
• Colleen Roose
• College Park Anesthesia Associates PA

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.