Active NPI
Med Southwest, PLLC
- Optometrist
- Humble, TX
National Provider Identifier
1841762887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MED SOUTHWEST, PLLC
- Doing business as
- MyEyeDr
- Practice address
- 20811 Highway 59 N Ste 300
Humble, TX 77338-2260 - Phone
- (281) 446-2020
- Fax
- (281) 548-3411
- NPI assigned
- Dec 31, 2018
- 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
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
20811 Highway 59 N Ste 300
Humble, TX 77338-2260
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190221001481 | TX | Part B Supplier - Clinic/Group Practice | 4082952874 |
Receives reassigned benefits from 379 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2318765 | Med Southwest, PLLC | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Watauga, TX
- NPI 1841033156
-
- Optometrist
- Spring, TX
- NPI 1316941669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653868800000",
"number": "1841762887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20811 HIGHWAY 59 N STE 300",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773382260",
"telephone_number": "281-446-2020",
"fax_number": "281-548-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED SOUTHWEST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-31",
"last_updated": "2022-05-30",
"certification_date": "2022-05-30",
"status": "A",
"authorized_official_last_name": "HEALEY",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MyEyeDr",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.