Active NPI
Custom Eyes of Pearland, LLC
- Optometrist
- Pearland, TX
National Provider Identifier
1811233836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7074T
- Legal business name
- CUSTOM EYES OF PEARLAND, LLC
- Practice address
- 11126 Broadway St
Suite 200
Pearland, TX 77584-9754 - Phone
- (713) 436-6000
- Fax
- (713) 436-6004
- NPI assigned
- Dec 19, 2012
- 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
- Sejal P. Patel, OD
- Title
- OD/Owner
- Phone
- (713) 436-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7074T | TX | Primary |
Addresses
Primary practice location
11126 Broadway St
Suite 200
Pearland, TX 77584-9754
Mailing address
11150 Broadway St
Suite 100
Pearland, TX 77584-2473
Phone (713) 436-6000
Other names 1
- CustomEyes
National Provider Directory
National Provider DirectoryLocations
11150 Broadway St
Ste 100
Pearland, TX 77584
Phone (713) 436-6000
11126 Broadway St
Ste 200
Pearland, TX 77584
Phone (713) 436-6000
11150 Broadway St
Pearland, TX 77584
Phone (713) 436-6000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bellaire, TX
- NPI 1710372339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458086400000",
"number": "1811233836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 BROADWAY ST",
"address_2": "SUITE 100",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842473",
"telephone_number": "713-436-6000",
"fax_number": "713-436-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11126 BROADWAY ST",
"address_2": "SUITE 200",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775849754",
"telephone_number": "713-436-6000",
"fax_number": "713-436-6004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM EYES OF PEARLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-19",
"last_updated": "2016-03-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SEJAL",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OD/OWNER",
"authorized_official_telephone_number": "713-436-6000",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "7074T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CustomEyes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.