Organization Active NPI

Friendswood Eye Center, Inc

  • Optometrist
  • Friendswood, TX
National Provider Identifier
1669656690
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6435 TG Issued in TX
Legal business name
FRIENDSWOOD EYE CENTER, INC
Practice address
3141 F.M. 528
Suite 324
Friendswood, TX 77546
Phone
(281) 316-0333
NPI assigned
Dec 27, 2007
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Dr. Jung H. Choi, ODNPI 1003866096
Title
Owner
Phone
(281) 316-0333

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 6435 TG TX Primary

Addresses

Primary practice location

3141 F.M. 528
Suite 324
Friendswood, TX 77546

Mailing address

3141 F.M. 528
Suite 324
Friendswood, TX 77546-8937
Phone (281) 316-0333

Other identifiers 1

IdentifierTypeStateIssuer
1710535 SFX 01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723000956 TX Part B Supplier - Clinic/Group Practice 0345220893 Receives reassigned benefits from 2 practitioners
Practice locations: Friendswood, TX; League City, TX

National Provider Directory

National Provider Directory

Locations

3141 E FM 528 Rd
Ste 324
Friendswood, TX 77546
Phone (281) 316-0333

1940 W League City Pkwy
Ste 120
League City, TX 77573
Phone (832) 632-1237

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1669656690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 F.M. 528",
            "address_2": "SUITE 324",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775468937",
            "telephone_number": "281-316-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 F.M. 528",
            "address_2": "SUITE 324",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "77546",
            "telephone_number": "281-316-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSWOOD EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-316-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6435 TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710535 SFX 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.