Organization Active NPI

Complete Eyecare PC

  • Optometrist
  • Houston, TX
National Provider Identifier
1730586454
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COMPLETE EYECARE PC
Practice address
5774 FM 1960 Rd W
Houston, TX 77069-4204
Phone
(281) 440-5887
Fax
(832) 934-1161
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Liz Haney
Title
Office Manager
Phone
(281) 440-5887

Specialties & licenses 1

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

Addresses

Primary practice location

5774 FM 1960 Rd W
Houston, TX 77069-4204

Mailing address

5774 FM 1960 Rd W
Houston, TX 77069-4204
Phone (281) 440-5887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150204001101 TX Part B Supplier - Clinic/Group Practice 4981929403 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

5774 FM 1960 Rd W
Houston, TX 77069
Phone (281) 440-5887

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1730586454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "832-934-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "832-934-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-440-5887"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "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 Aug 11, 2015; 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.