Organization Active NPI

Pristine Vision PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1720526122
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7749 Issued in TX
Legal business name
PRISTINE VISION PLLC
Practice address
2700 Eldridge Pkwy
Houston, TX 77082-6870
Phone
(832) 791-3393
Fax
(832) 681-8362
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Amy Lo, O.D.
Title
Optometrist
Phone
(832) 791-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7749 TX Primary

Addresses

Primary practice location

2700 Eldridge Pkwy
Houston, TX 77082-6870

Mailing address

3333 Weslayan St
Unit 1223
Houston, TX 77027-6359
Phone (832) 791-3393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1720526122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 WESLAYAN ST",
            "address_2": "UNIT 1223",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276359",
            "telephone_number": "832-791-3393",
            "fax_number": "832-681-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ELDRIDGE PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770826870",
            "telephone_number": "832-791-3393",
            "fax_number": "832-681-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "832-791-3393",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7749",
            "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 Feb 6, 2017; 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.