Organization Active NPI

Retina Consultants of Houston PLLC

Doing business as Retina Consultants of Texas

  • Retina Specialist (Ophthalmology) Physician
  • Beaumont, TX
National Provider Identifier
1720758709
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA CONSULTANTS OF HOUSTON PLLC
Doing business as
Retina Consultants of Texas
Practice address
87 Interstate 10 N Ste 103
Beaumont, TX 77707-2562
Phone
(713) 524-3434
Fax
(713) 524-3220
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Dr. Matthew Benz, MDNPI 1689771545
Title
Owner
Phone
(713) 524-3434

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X NU
Retina Specialist (Ophthalmology) Physician 207WX0107X NU Primary

Addresses

Primary practice location

87 Interstate 10 N Ste 103
Beaumont, TX 77707-2562

Mailing address

6300 West Loop S Ste 500
Bellaire, TX 77401-2903
Phone (713) 524-3434

Other names 1

  • Retina Consultants of Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051012000343 TX Part B Supplier - Clinic/Group Practice 6103841820 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX; Pearland, TX; New Braunfels, TX; Lufkin, TX; Livingston, TX; Kingwood, TX; San Marcos, TX; Brenham, TX…

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2278382Retina Consultants of Texas87 Interstate 10 North, Suite 103, Beaumont, TX 77707Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

Locations

6300 West Loop S
Ste 500
Bellaire, TX 77401
Phone (281) 435-4788

2620 Highway 36 S
Brenham, TX 77833

21216 Northwest Fwy
Ste 520
Cypress, TX 77429
Phone (281) 955-7900

755 S Washington St
Fredericksburg, TX 78624
Phone (830) 997-6535

11460 Space Center Blvd
#2
Houston, TX 77059

1360 Post Oak Blvd
Ste 800
Houston, TX 77056

17030 Nanes Dr
Ste 214
Houston, TX 77090
Phone (281) 397-6002

17270 Red Oak Dr
Ste 170
Houston, TX 77090
Phone (281) 587-1987

902 Frostwood Dr
Ste 280
Houston, TX 77024
Phone (832) 358-9306

9600 Bellaire Blvd
Ste 211
Houston, TX 77036
Phone (713) 988-8889

23501 Cinco Ranch Blvd
Ste G205
Katy, TX 77494
Phone (346) 253-2254

1513 W Church St
#A
Livingston, TX 77351
Phone (409) 327-8733

218 E Austin St
New Braunfels, TX 78130
Phone (830) 625-6905

10907 Memorial Hermann Dr
Ste 450
Pearland, TX 77584

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

16659 Southwest Fwy
Ste 121
Sugar Land, TX 77479
Phone (281) 434-5995

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1720758709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012903",
            "telephone_number": "713-524-3434",
            "fax_number": "713-513-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 INTERSTATE 10 N STE 103",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072562",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF HOUSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "BENZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-524-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Consultants of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.