Organization Active NPI

Vision Quest PA

Doing business as Cypress Ranch Vision

  • Optometrist
  • Cypress, TX
National Provider Identifier
1669667713
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07006TG Issued in TX
Legal business name
VISION QUEST PA
Doing business as
Cypress Ranch Vision
Practice address
10615 Fry Rd Ste 500
Cypress, TX 77433-6978
Phone
(281) 393-0023
Fax
(832) 653-2439
NPI assigned
Sep 12, 2007
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Kelly Nhu Mai, ODNPI 1487742086
Title
Optometrist
Phone
(281) 393-0023

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 07006TG TX Primary

Addresses

Primary practice location

10615 Fry Rd Ste 500
Cypress, TX 77433-6978

Mailing address

10615 Fry Rd Ste 500
Cypress, TX 77433-6978
Phone (832) 483-6952

Other names 1

  • Cypress Ranch Vision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071024000657 TX Part B Supplier - Clinic/Group Practice 7911094859 Receives reassigned benefits from 2 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

10615 Fry Rd
Ste 500
Cypress, TX 77433
Phone (281) 393-0023

Practitioners & affiliated clinicians

Practitioners 4

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1669667713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 FRY RD STE 500",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336978",
            "telephone_number": "832-483-6952",
            "fax_number": "832-653-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 FRY RD STE 500",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336978",
            "telephone_number": "281-393-0023",
            "fax_number": "832-653-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION QUEST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "NHU",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "281-393-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "07006TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Ranch Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.