Individual provider Active NPI

Linda Thuy Enciso, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1861517484
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6908TG Issued in TX
Practice address
15080 Memorial Dr
Houston, TX 77079-4302
Phone
(281) 531-0300
Fax
(281) 531-0349
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6908TG TX Primary

Addresses

Primary practice location

15080 Memorial Dr
Houston, TX 77079-4302

Mailing address

2470 Gray Falls Dr Ste 150
Houston, TX 77077-6525
Phone (281) 556-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000797 TX Practitioner - Optometry 6800970526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6908TXMDNutrition Chiropractor
6908TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Memorial Eye, PA Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

9620 Westheimer Rd
Houston, TX 77063
Phone (713) 636-5392

15080 Memorial Dr
Houston, TX 77079
Phone (281) 531-0300

2677 Wilcrest Dr
Houston, TX 77042
Phone (713) 977-1170

1229 W 43rd St
Houston, TX 77018
Phone (713) 686-3221

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1861517484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 GRAY FALLS DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776525",
            "telephone_number": "281-556-5353",
            "fax_number": "281-556-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15080 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794302",
            "telephone_number": "281-531-0300",
            "fax_number": "281-531-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCISO",
        "first_name": "LINDA",
        "middle_name": "THUY",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6908TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.