NPIMap

Organization Active NPI

Columbus Eye Associates

  • Ophthalmology Physician
  • Columbus, TX
National Provider Identifier
1811954100
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COLUMBUS EYE ASSOCIATES
Practice address
100 Sweetbriar Dr
Columbus, TX 78934-3008
Phone
(979) 732-5771
Fax
(979) 732-6922
NPI assigned
Apr 28, 2006
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Bob D. Moore
Title
Administrator
Phone
(979) 732-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

100 Sweetbriar Dr
Columbus, TX 78934-3008

Mailing address

100 Sweetbriar Dr
Columbus, TX 78934-3008
Phone (979) 732-5771

Other identifiers 2

IdentifierTypeStateIssuer
081861902MedicaidTX
081861903MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000456 TX Part B Supplier - Clinic/Group Practice 4688622681 Receives reassigned benefits from 9 practitioners
Practice locations: Columbus, TX; Houston, TX; La Grange, TX; Sealy, TX

National Provider Directory

National Provider Directory

Locations

503 S Faires St
Flatonia, TX 78941
Phone (361) 865-3252

18300 Katy Fwy
Houston, TX 77094

18300 Katy Fwy
Ste 415
Houston, TX 77094
Phone (281) 829-3937

124 N Washington St
La Grange, TX 78945
Phone (979) 968-3953

Practitioners & affiliated clinicians

Practitioners 9

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1811954100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SWEETBRIAR DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343008",
            "telephone_number": "979-732-5771",
            "fax_number": "979-732-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SWEETBRIAR DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343008",
            "telephone_number": "979-732-5771",
            "fax_number": "979-732-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-732-5771"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081861902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081861903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.