Organization Active NPI

Allen J. Panzer OD PA

  • Optometrist
  • Houston, TX
National Provider Identifier
1720278781
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2627TG Issued in TX
Legal business name
ALLEN J. PANZER OD PA
Practice address
4760 Beechnut St
Houston, TX 77096-1637
Phone
(713) 664-4760
Fax
(713) 665-4760
NPI assigned
Jul 26, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Allen J. Panzer, O.D.
Title
Presidente
Phone
(713) 664-4760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2627TG TX Primary

Addresses

Primary practice location

4760 Beechnut St
Houston, TX 77096-1637

Mailing address

4760 Beechnut St
Houston, TX 77096-1637
Phone (713) 664-4760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000463 TX Part B Supplier - Clinic/Group Practice 4688832884 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1720278781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961637",
            "telephone_number": "713-664-4760",
            "fax_number": "713-665-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961637",
            "telephone_number": "713-664-4760",
            "fax_number": "713-665-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN J. PANZER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PANZER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "713-664-4760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2627TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 2018; 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.