Organization Active NPI

Clarifeye Total Eye Care, PLLC

  • Optometrist
  • Conroe, TX
National Provider Identifier
1679098826
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9022TG Issued in TX
Legal business name
CLARIFEYE TOTAL EYE CARE, PLLC
Practice address
2956 Interstate 45 N Ste 700B
Conroe, TX 77303-7903
Phone
(936) 267-0190
Fax
(713) 589-8554
NPI assigned
Aug 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Dr. Hang Tuyet Kretzschmar, OD
Title
Therapeutic Optometrist
Phone
(936) 267-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9022TG TX Primary

Addresses

Primary practice location

2956 Interstate 45 N Ste 700B
Conroe, TX 77303-7903

Mailing address

2956 Interstate 45 N Ste 700B
Conroe, TX 77303-7903
Phone (936) 267-0190

Other identifiers 1

IdentifierTypeStateIssuer
375799901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170831000992 TX Part B Supplier - Clinic/Group Practice 9830462548 Receives reassigned benefits from 1 practitioner
Practice locations: Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

1919 North Loop W
Ste 260
Houston, TX 77008
Phone (713) 550-6907

5401 Bosque Blvd
Waco, TX 76710
Phone (254) 399-6852

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": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1679098826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 INTERSTATE 45 N STE 700B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773037903",
            "telephone_number": "936-267-0190",
            "fax_number": "713-589-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 INTERSTATE 45 N STE 700B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773037903",
            "telephone_number": "936-267-0190",
            "fax_number": "713-589-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARIFEYE TOTAL EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "KRETZSCHMAR",
        "authorized_official_first_name": "HANG",
        "authorized_official_middle_name": "TUYET",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST",
        "authorized_official_telephone_number": "936-267-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9022TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375799901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.