Organization Active NPI

Tomball Family Eye Care Inc.

  • Optometrist
  • Tomball, TX
National Provider Identifier
1659722726
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7075 Issued in TX
Legal business name
TOMBALL FAMILY EYE CARE INC.
Practice address
27650 State Highway 249
Tomball, TX 77375-6518
Phone
(281) 516-3937
Fax
(281) 516-3938
NPI assigned
Jun 29, 2016
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Rido Pham, ODNPI 1023318268
Title
Optometrist/President
Phone
(281) 516-3937

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 7075 TX Primary

Addresses

Primary practice location

27650 State Highway 249
Tomball, TX 77375-6518

Mailing address

10322 Knoboak Dr
Houston, TX 77043-2912
Phone (281) 516-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170322002147 TX Part B Supplier - Clinic/Group Practice 5799060307 Receives reassigned benefits from 2 practitioners
Practice locations: New Caney, TX; Tomball, TX

National Provider Directory

National Provider Directory

Locations

20310 US Highway 59
New Caney, TX 77357
Phone (281) 306-7099

27650 State Highway 249
Tomball, TX 77375
Phone (281) 351-2144

Practitioners & affiliated clinicians

Practitioners 2

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": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1659722726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10322 KNOBOAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432912",
            "telephone_number": "281-516-3937",
            "fax_number": "281-516-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27650 STATE HIGHWAY 249",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756518",
            "telephone_number": "281-516-3937",
            "fax_number": "281-516-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL FAMILY EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RIDO",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "281-516-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.