Organization Active NPI

Healthsync Vision Care

  • Optometrist
  • Katy, TX
National Provider Identifier
1770514275
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HEALTHSYNC VISION CARE
Practice address
1331 W Grand Pkwy N Ste 145
Katy, TX 77493-2736
Phone
(832) 436-0351
Fax
(800) 652-8206
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mrs. Carol Wilson
Title
Administrator
Phone
(866) 950-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 145
Katy, TX 77493-2736

Mailing address

1331 W Grand Pkwy N Ste 145
Katy, TX 77493-2736
Phone (832) 436-0351

Other identifiers 1

IdentifierTypeStateIssuer
184622201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061202000194 TX Part B Supplier - Clinic/Group Practice 7618976515 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

1450 W Grand Pkwy S
Ste G285
Katy, TX 77494
Phone (866) 792-8439

23230 Red River Dr
Katy, TX 77494
Phone (281) 221-0662

Practitioners & affiliated clinicians

Practitioners 4

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1770514275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 145",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932736",
            "telephone_number": "832-436-0351",
            "fax_number": "800-652-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 145",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932736",
            "telephone_number": "832-436-0351",
            "fax_number": "800-652-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSYNC VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "866-950-3627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184622201",
            "state": "TX"
        }
    ],
    "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 Apr 13, 2011; 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.