Organization Active NPI

Vision Gallery PLLC

  • Optometrist
  • Katy, TX
National Provider Identifier
1770125866
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION GALLERY PLLC
Practice address
1101 S Mason Rd
Katy, TX 77450-3842
Phone
(281) 398-4000
Fax
(281) 398-4515
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Sahar Mahmoodpopur, OD
Title
Owner
Phone
(832) 512-1655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1101 S Mason Rd
Katy, TX 77450-3842

Mailing address

5215 Schuler St
Houston, TX 77007-3215
Phone (832) 512-1655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210000192 TX Part B Supplier - Clinic/Group Practice 2163855958 Receives reassigned benefits from 2 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

1101 S Mason Rd
Ste A
Katy, TX 77450
Phone (281) 398-4000

1101 S Mason Rd
Katy, TX 77450
Phone (281) 398-4000

Practitioners & affiliated clinicians

Practitioners 2

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": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1770125866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 SCHULER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073215",
            "telephone_number": "832-512-1655",
            "fax_number": "281-398-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503842",
            "telephone_number": "281-398-4000",
            "fax_number": "281-398-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION GALLERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "MAHMOODPOPUR",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-512-1655",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2020; 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.