Second Texas Optometric PC
Organization Active NPI Optometrist · Greenspoint, TX
NPI 1760107288 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1760107288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- SECOND TEXAS OPTOMETRIC PC
- Practice address
- 127 Greens Rd
Greenspoint, TX 77060-1330 - Phone
- (281) 876-2020
- NPI assigned
- Oct 6, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- SECOND TEXAS OPTOMETRIC PC
Authorized official
- Name
- Tammi Allsep, OD
- Title
- Owner
- Phone
- (281) 513-8100
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Practitioners 21
-
Parnaz Adibian, OD, MPH
-
Jacquelyn Chan, OD
-
Kirsten Crenshaw, OD
-
Sterling Curnutt, OD
-
Angela Dantin, O.D.
-
Leah Dantin, O.D.
-
Diane Diep DO, O.D.
-
Jill Liu, O.D.
-
Nancy Nghe, O.D.
-
Lauren A Tom, O.D.
-
Brooke Vegas, OD
-
Aaron Gee Wong, OD
-
Mujahid Saeed, O.D.
-
Tammi Cutrer Allsep, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230718002898 | TX | Part B Supplier - Clinic/Group Practice | 6305206673 |
Receives reassigned benefits from 20 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: The Woodlands, TX; Spring, TX; Houston, TX |
National Provider Directory
- Tax ID family
- Second Texas Optometric PC
- Part of
- Second Texas Optometric PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
127 Greens Rd
Greenspoint, TX 77060-1330
Mailing address
3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (704) 712-0564
Other names
- EyeTrends-Greenspoint
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.