Active NPI
Spectrum Eye Care
- Optometrist
- Houston, TX
National Provider Identifier
1700930898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, OD
- 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.
-
- Optometrist
- Houston, TX
- NPI 1184908857
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houston, TX
- NPI 1942370259
-
- Anesthesiology Physician
- Houston, TX
- NPI 1164401816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
6340 N Eldridge Pkwy
Ste L
Houston, TX 77041
Phone (713) 849-9968
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143621401 | Medicaid | TX |
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.