Active NPI
Community Retina Group PA
- Ophthalmology Physician
- Houston, TX
National Provider Identifier
1750604898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H1981
- Legal business name
- COMMUNITY RETINA GROUP PA
- Practice address
- 6550 Fannin St
Suite 2317
Houston, TX 77030-2723 - Phone
- (281) 407-3033
- Fax
- (281) 763-2623
- NPI assigned
- Mar 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helen K. Li, MD
- Title
- MD
- Phone
- (281) 407-3033
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H1981 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 2317
Houston, TX 77030-2723
Mailing address
6550 Fannin Street
Suite 2317
Houston, TX 77030-2723
Phone (281) 407-3033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217695001 | Medicaid | TX | |
| H1981 | Other | TX | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10001 Westheimer Rd
Ste 2910
Houston, TX 77042
Phone (713) 977-0725
6550 Fannin St
Ste 2317
Houston, TX 77030
Phone (281) 407-3033
Interoperability endpoints
- hli@crtx.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1598824740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327622400000",
"number": "1750604898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN STREET",
"address_2": "SUITE 2317",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302723",
"telephone_number": "281-407-3033",
"fax_number": "281-763-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2317",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302723",
"telephone_number": "281-407-3033",
"fax_number": "281-763-2623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY RETINA GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-03",
"last_updated": "2012-01-27",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "HELEN",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "281-407-3033",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "H1981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217695001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "H1981",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Community Pharmacy
- Community Podiatry and Family Center
- Community Protection Agency Inc (Community Volunteer Fire Department)
- Community Resources and Solutions
- Community Resources and Solutions
- Community Treatment Alternatives of TX
- Communitywide Home Health
- Cicelia Como, MA, LPC
- Companion Care Home Healthcare LLC
- Companion Care Medical Supply LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.