Active NPI
Outlook Eye and Laser Center
- Ophthalmology Physician
- Sugar Land, TX
National Provider Identifier
1770912503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- P6649
- Legal business name
- OUTLOOK EYE AND LASER CENTER
- Practice address
- 3507 Town Center Blvd S
Sugar Land, TX 77479-2654 - Phone
- (281) 242-1242
- Fax
- (281) 886-8687
- NPI assigned
- Nov 2, 2013
- 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
- Dip Sureshkumar Jadav, M.D.
- Title
- Managing Member
- Phone
- (281) 242-1242
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 | P6649 | TX | Primary |
Addresses
Primary practice location
3507 Town Center Blvd S
Sugar Land, TX 77479-2654
Mailing address
PO Box 16789
Sugar Land, TX 77496-6789
Phone (281) 242-1242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3507 Town Center Blvd S
Sugar Land, TX 77479
Phone (281) 242-1242
3507 Town Center Blvd S
Ste B
Sugar Land, TX 77479
Phone (281) 242-1242
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
- Sugar Land, TX
- NPI 1497908883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397433600000",
"number": "1770912503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16789",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774966789",
"telephone_number": "281-242-1242",
"fax_number": "281-886-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 TOWN CENTER BLVD S",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792654",
"telephone_number": "281-242-1242",
"fax_number": "281-886-8687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTLOOK EYE AND LASER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-02",
"last_updated": "2014-04-14",
"status": "A",
"authorized_official_last_name": "JADAV",
"authorized_official_first_name": "DIP",
"authorized_official_middle_name": "SURESHKUMAR",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "281-242-1242",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "P6649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.