Organization Active NPI

Vertex Vision

  • Optometrist
  • Magnolia, TX
National Provider Identifier
1730701442
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VERTEX VISION
Practice address
306 Magnolia Blvd
Magnolia, TX 77355-8535
Phone
(281) 259-2020
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Vincent Lam, O.D.NPI 1841524063
Title
Managing Member
Phone
(832) 605-7103

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 1

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

Addresses

Primary practice location

306 Magnolia Blvd
Magnolia, TX 77355-8535

Mailing address

2211 Village Dale Ave
Houston, TX 77059-3591
Phone (832) 605-7103

Other practice location 1

11821 Fm 1488 Rd Ste B
Magnolia, TX 77354-7138
Phone (832) 224-4766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210423000656 TX Part B Supplier - Clinic/Group Practice 6901214360 Receives reassigned benefits from 3 practitioners
Practice locations: Magnolia, TX

National Provider Directory

National Provider Directory

Locations

11821 FM 1488 Rd
Ste B
Magnolia, TX 77354
Phone (832) 224-4766

Practitioners & affiliated clinicians

Practitioners 5

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": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1730701442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 VILLAGE DALE AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593591",
            "telephone_number": "832-605-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAGNOLIA BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773558535",
            "telephone_number": "281-259-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11821 Fm 1488 Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773547138",
            "country_code": "US",
            "telephone_number": "832-224-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERTEX VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-605-7103",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.