Organization Active NPI

Copperfield Vision Center, Inc

  • Optometrist
  • Houston, TX
National Provider Identifier
1710172044
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5441TG Issued in TX
Legal business name
COPPERFIELD VISION CENTER, INC
Practice address
7085 Highway 6 N
Houston, TX 77095-2505
Phone
(281) 463-8333
Fax
(281) 463-8727
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Dr. Catherine D Ong, ODNPI 1114902319
Title
President
Phone
(281) 463-8333

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5441TG TX Primary

Addresses

Primary practice location

7085 Highway 6 N
Houston, TX 77095-2505

Mailing address

7085 Highway 6 N
Houston, TX 77095-2505
Phone (281) 463-8333

Other identifiers 1

IdentifierTypeStateIssuer
1616054-01MedicaidTX

Other names 1

  • PEARLE VISION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110909002874 TX Part B Supplier - Clinic/Group Practice 5991975583 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7085 Highway 6 N
Houston, TX 77095
Phone (281) 463-8333

1875 Highway 6
Ste 800
Sugar Land, TX 77478
Phone (281) 463-8333

Practitioners & affiliated clinicians

Practitioners 3

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1710172044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952505",
            "telephone_number": "281-463-8333",
            "fax_number": "281-463-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952505",
            "telephone_number": "281-463-8333",
            "fax_number": "281-463-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERFIELD VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-463-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5441TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1616054-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2014; 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.