Organization Active NPI

Eyecare Leaders PA

  • Optometrist
  • Houston, TX
National Provider Identifier
1790893238
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5149TG Issued in TX
Legal business name
EYECARE LEADERS PA
Practice address
10603 Fuqua St Ste a
Houston, TX 77089-2403
Phone
(713) 947-8718
Fax
(713) 715-6636
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Dr. Joseph Quyet Nguyen, ODNPI 1134371537
Title
President
Phone
(713) 947-8718

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5149TG TX Primary

Addresses

Primary practice location

10603 Fuqua St Ste a
Houston, TX 77089-2403

Mailing address

10603 Fuqua St Ste a
Houston, TX 77089-2403
Phone (713) 947-8718

Other identifiers 3

IdentifierTypeStateIssuer
117725OtherEYEMED VISION CARE
0932741-01MedicaidTX
915244OtherBLOCK VISION OF TEXAS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000263 TX Part B Supplier - Clinic/Group Practice 6800997909 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10603 Fuqua St
Ste A
Houston, TX 77089
Phone (713) 947-8718

17202 Clay Rd
Ste 102
Houston, TX 77084
Phone (281) 886-7063

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1790893238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 FUQUA ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892403",
            "telephone_number": "713-947-8718",
            "fax_number": "713-715-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 FUQUA ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892403",
            "telephone_number": "713-947-8718",
            "fax_number": "713-715-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE LEADERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "QUYET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-947-8718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5149TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "117725",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0932741-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION OF TEXAS",
            "identifier": "915244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.