Bayshore Optical Company

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BAYSHORE OPTICAL COMPANY

Practice address

3320 Plainview St
Pasadena, TX 77504-1906

Phone

(713) 944-4828

Fax

(713) 944-1401

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter M. Holland, M.D.

Title

M.D.

Phone

(713) 944-4828

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689785560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PLAINVIEW ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041906",
            "telephone_number": "713-944-4828",
            "fax_number": "713-944-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PLAINVIEW ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041906",
            "telephone_number": "713-944-4828",
            "fax_number": "713-944-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "713-944-4828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0041DG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0991490001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.