Organization Active NPI

Vision Trends - Kingwood PA

  • Optometrist
  • Humble, TX
National Provider Identifier
1700828308
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION TRENDS - KINGWOOD PA
Practice address
4333 Kingwood Dr
Humble, TX 77339-3700
Phone
(281) 360-1006
Fax
(281) 360-2233
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Vision Trends
Title
Owner
Phone
(281) 363-2020

Specialties & licenses 1

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

Addresses

Primary practice location

4333 Kingwood Dr
Humble, TX 77339-3700

Mailing address

402 Sawdust Rd
The Woodlands, TX 77380-2243
Phone (281) 363-2020

Other identifiers 1

IdentifierTypeStateIssuer
189002201MedicaidTX

Other names 1

  • EYE TRENDS AFFILIATE Doing business as

National Provider Directory

National Provider Directory

Locations

4333 Kingwood Dr
Kingwood, TX 77339
Phone (281) 360-1006

Practitioners & affiliated clinicians

Practitioners 4

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1700828308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802243",
            "telephone_number": "281-363-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 KINGWOOD DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773393700",
            "telephone_number": "281-360-1006",
            "fax_number": "281-360-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION TRENDS - KINGWOOD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "TRENDS",
        "authorized_official_first_name": "VISION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-363-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189002201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE TRENDS AFFILIATE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE TRENDS AFFILIATE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.