Oculus Interest IX, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OCULUS INTEREST IX, LLC

Practice address

20115 Stuebner Airline Rd
Spring, TX 77379-5430

Phone

(832) 410-4501

NPI assigned

May 20, 2020

Last updated

Feb 22, 2021By 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

Jackie Bennett

Title

Credentialing Manager

Phone

(616) 357-6146

Specialties & licenses 2

Addresses

Tax ID family

Oculus Interest IX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oculus Interest IX, LLC

  • Eyewear Supplier
  • Houston, TX
  • NPI 1093338253
  NPD tax ID

Locations

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1710500020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20115 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20115 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795430",
            "telephone_number": "832-410-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS INTEREST IX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "616-357-6146"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ann Obrien
• Amina Obuekwe
• Juan Jose Ochoa
• Maria Ochoa, SLP
• Oculus Cypresswood, LLC
• Oculus Interest VI, LLC (My EyeLab)
• Oculus Interest VII, LLC
• Oculus Interest X, LLC (My EyeLab)
• Oculus Interest XI, LLC
• Oculus Interest XII, LLC (My EyeLab)

• Optometrist in Spring, TX
• Providers in Spring, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.