Individual provider Active NPI

Desiree M Ogundolie

  • Optician
  • Houston, TX
National Provider Identifier
1720517857
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
14010 S Post Oak Rd Ste 1105
Houston, TX 77045-5157
Phone
(832) 774-5609
Fax
(346) 980-7837
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

14010 S Post Oak Rd Ste 1105
Houston, TX 77045-5157

Mailing address

14010 S Post Oak Rd Ste 1105
Houston, TX 77045-5157
Phone (832) 774-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720517857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 S POST OAK RD STE 1105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455157",
            "telephone_number": "832-774-5609",
            "fax_number": "346-980-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 S POST OAK RD STE 1105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455157",
            "telephone_number": "832-774-5609",
            "fax_number": "346-980-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDOLIE",
        "first_name": "DESIREE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.