Organization Active NPI

Elite Vision Care, PLLC

  • Optometrist
  • League City, TX
National Provider Identifier
1750566733
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6234TG Issued in TX
Legal business name
ELITE VISION CARE, PLLC
Practice address
1615 W League City Pkwy Ste 100
League City, TX 77573-7458
Phone
(281) 554-7080
Fax
(281) 554-3700
NPI assigned
Jan 8, 2008
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Mrs. Tabitha Smith
Title
Practice Manager
Phone
(281) 554-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6234TG TX Primary

Addresses

Primary practice location

1615 W League City Pkwy Ste 100
League City, TX 77573-7458

Mailing address

1615 W League City Pkwy Ste 100
League City, TX 77573-7458
Phone (281) 554-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160920000847 TX Part B Supplier - Clinic/Group Practice 4183911134 Receives reassigned benefits from 5 practitioners
Practice locations: League City, TX

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
45D2123424Elite Vision Care PLLC1615 W League City Parkway, Suite 100, League City, TX 77573Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

1615 W League City Pkwy
Ste 100
League City, TX 77573
Phone (281) 554-7080

192 Gulf Fwy S
Ste C2
League City, TX 77573
Phone (281) 554-7080

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1750566733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W LEAGUE CITY PKWY STE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737458",
            "telephone_number": "281-554-7080",
            "fax_number": "281-554-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W LEAGUE CITY PKWY STE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737458",
            "telephone_number": "281-554-7080",
            "fax_number": "281-554-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "281-554-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6234TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.