Organization Active NPI

Mason Village Optical, P.C.

  • Optometrist
  • Katy, TX
National Provider Identifier
1740536093
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2729-T Issued in TX
Legal business name
MASON VILLAGE OPTICAL, P.C.
Practice address
21975 Katy Fwy
Katy, TX 77450-1738
Phone
(281) 392-7010
Fax
(281) 392-6807
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Nathan L Lerner, O.D.
Title
President
Phone
(281) 392-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2729-T TX Primary

Addresses

Primary practice location

21975 Katy Fwy
Katy, TX 77450-1738

Mailing address

21975 Katy Fwy
Katy, TX 77450-1738
Phone (281) 392-7010

Other names 1

  • KATY VISION CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

332 S Mason Rd
Katy, TX 77450
Phone (281) 392-7010

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1740536093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21975 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501738",
            "telephone_number": "281-392-7010",
            "fax_number": "281-392-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21975 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501738",
            "telephone_number": "281-392-7010",
            "fax_number": "281-392-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON VILLAGE OPTICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-392-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2729-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KATY VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.