Organization Active NPI

Executive Eye Care PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1669776100
Registry record updated Dec 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7225TG Issued in TX
Legal business name
EXECUTIVE EYE CARE PLLC
Practice address
910 Louisiana St
Suite 175
Houston, TX 77002-4916
Phone
(713) 225-2600
Fax
(713) 225-2602
NPI assigned
Dec 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2010

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

Authorized official

Name
Jessica Ransonet Murrell, ODNPI 1578710786
Title
OD
Phone
(713) 225-2600

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 7225TG TX Primary

Addresses

Primary practice location

910 Louisiana St
Suite 175
Houston, TX 77002-4916

Mailing address

910 Louisiana St
Suite 175
Houston, TX 77002-4916
Phone (713) 225-2600

Other identifiers 1

IdentifierTypeStateIssuer
7225TGOtherTXOPTOMETRY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000496 TX Part B Supplier - Clinic/Group Practice 1355526732 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

910 Louisiana St
Ste M175
Houston, TX 77002
Phone (713) 225-2600

910 Louisiana St
Ste 175
Houston, TX 77002
Phone (713) 225-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293148800000",
    "number": "1669776100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 LOUISIANA ST",
            "address_2": "SUITE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770024916",
            "telephone_number": "713-225-2600",
            "fax_number": "713-225-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LOUISIANA ST",
            "address_2": "SUITE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770024916",
            "telephone_number": "713-225-2600",
            "fax_number": "713-225-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-24",
        "last_updated": "2010-12-24",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RANSONET",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "713-225-2600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7225TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "7225TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2010; 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.