Organization Active NPI

Spectrum Eye Care

  • Optometrist
  • Houston, TX
National Provider Identifier
1700930898
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SPECTRUM EYE CARE
Practice address
7758 W Tidwell Rd
Ste 124
Houston, TX 77040-5741
Phone
(713) 690-8439
Fax
(713) 690-8448
NPI assigned
Jan 23, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Trang Tran, ODNPI 1942370259
Title
President
Phone
(713) 690-8439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20150108001069 TX Part B Supplier - Clinic/Group Practice 6204159759 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Eye Care (2 organizations share this tax ID)

Locations

6340 N Eldridge Pkwy
Ste L
Houston, TX 77041
Phone (713) 849-9968

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

7758 W Tidwell Rd
Ste 124
Houston, TX 77040-5741

Mailing address

7758 W Tidwell Rd
Ste 124
Houston, TX 77040-5741
Phone (713) 690-8439

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
143621401MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2007.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1700930898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 W TIDWELL RD",
            "address_2": "STE 124",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405741",
            "telephone_number": "713-690-8439",
            "fax_number": "713-690-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 W TIDWELL RD",
            "address_2": "STE 124",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405741",
            "telephone_number": "713-690-8439",
            "fax_number": "713-690-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-690-8439",
        "authorized_official_credential": "OD"
    },
    "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": "143621401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.