Synergy Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4823TG Issued in TX

Legal business name

SYNERGY EYE CARE, PLLC

Practice address

24230 Kuykendahl Rd.
Suite 260
Tomball, TX 77375

Phone

(713) 398-4680

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Denny JoeNPI 1629088703

Title

Owner

Phone

(713) 398-4680

Specialties & licenses 1

Addresses

Other names 1

• Vision Source Spring Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Denny C Joe, OD

  • Optometrist
  • Houston, TX
  • NPI 1629088703
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1689088007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19702 HOLLY WALK",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24230 KUYKENDAHL RD.",
            "address_2": "SUITE 260",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "713-398-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "DENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-398-4680"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4823TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source Spring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Tomball, TX
• Providers in Tomball, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.