Memorial Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4085TG Issued in TX

Legal business name

MEMORIAL EYE CARE PC

Practice address

14815B Southwest Fwy
Sugar Land, TX 77478-5016

Phone

(281) 265-1001

Fax

(281) 265-1286

NPI assigned

Jun 26, 2009

Last updated

Jun 26, 2009By 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

Elizabeth D Goodnight, OD

Title

OD

Phone

(281) 265-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Joseph Idiculla, O.D.

  • Optometrist
  • Sugar Land, TX
  • NPI 1467884478
  Medicare reassignment NPD

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1710115803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815B SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-265-1001",
            "fax_number": "281-265-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815B SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-265-1001",
            "fax_number": "281-265-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "GOODNIGHT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "281-265-1001",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4085TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "4085TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Mellor-Crummey, PH.D.
• Mohammed Araf Memon, PHARMD
• Ruba Memon
• Memorial Anesthesia Associates
• Memorial EMS, LLC
• Memorial Hermann Health Centers for Schools
• Memorial Hermann Health System (Memorial Hermann Sugar Land ASC)
• Memorial Hermann Health System (Physicians at Sugar Creek)
• Memorial Hermann Health System (Memorial Hermann Sugar Land Hospital)
• Memorial Hermann Health System (Memorial Hermann Imaging Centers-First Colony RR)

• Optometrist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.