Organization Active NPI

Ifocus Vision LLC

  • Optometrist
  • Katy, TX
National Provider Identifier
1811503832
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IFOCUS VISION LLC
Practice address
23541 Westheimer Pkwy Ste 100
Katy, TX 77494-3597
Phone
(713) 614-7678
NPI assigned
Sep 16, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Trang T Nguyen, ODNPI 1710356787
Title
Ceo/Member
Phone
(713) 614-7678

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

23541 Westheimer Pkwy Ste 100
Katy, TX 77494-3597

Mailing address

9331 Dochfour LN
Tomball, TX 77375-1168
Phone (713) 614-7678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201216001908 TX Part B Supplier - Clinic/Group Practice 3072925080 Receives reassigned benefits from 2 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1811503832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 DOCHFOUR LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751168",
            "telephone_number": "713-614-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23541 WESTHEIMER PKWY STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943597",
            "telephone_number": "713-614-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFOCUS VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO/MEMBER",
        "authorized_official_telephone_number": "713-614-7678",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 13, 2020; 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.