Organization Active NPI

Eyecon Eye Care LLC

  • Optometrist
  • Bay City, TX
National Provider Identifier
1699047779
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7705T Issued in TX
Legal business name
EYECON EYE CARE LLC
Practice address
4600 7TH St
Bay City, TX 77414-8743
Phone
(832) 971-8910
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Samuel C Wen, OD
Title
Owner
Phone
(832) 971-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7705T TX Primary

Addresses

Primary practice location

4600 7TH St
Bay City, TX 77414-8743

Mailing address

4703 Apple Rock CT
Sugar Land, TX 77479-3069
Phone (832) 971-8910

Other identifiers 1

IdentifierTypeStateIssuer
7705TOtherOPTOMETRY LICENSE N;UMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1699047779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 APPLE ROCK CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793069",
            "telephone_number": "832-971-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774148743",
            "telephone_number": "832-971-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECON EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "WEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-971-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7705T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE N;UMBER",
            "identifier": "7705T",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.