NPIMap

Organization Active NPI

Tomball Texas State Optical PA

  • Optometrist
  • Tomball, TX
National Provider Identifier
1770552176
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOMBALL TEXAS STATE OPTICAL PA
Practice address
28301 Tomball Pkwy
Suite #700
Tomball, TX 77375-6550
Phone
(281) 351-2020
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Thomas Ford
Title
HR Director
Phone
(713) 453-2972

Specialties & licenses 1

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

Addresses

Primary practice location

28301 Tomball Pkwy
Suite #700
Tomball, TX 77375-6550

Mailing address

1250 Uvalde Rd
Houston, TX 77015-3708

Other identifiers 1

IdentifierTypeStateIssuer
1583684-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

28301 Tomball Pkwy
Ste 700
Tomball, TX 77375
Phone (281) 351-2020

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1770552176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 UVALDE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28301 TOMBALL PKWY",
            "address_2": "SUITE #700",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756550",
            "telephone_number": "281-351-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL TEXAS STATE OPTICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "713-453-2972"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583684-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.