South Shore Eye Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4177TG Issued in TX

Legal business name

SOUTH SHORE EYE CENTER LLC

Practice address

2951 Marina Bay Dr
Suite 100
League City, TX 77573-2735

Phone

(281) 334-5277

Fax

(281) 334-1633

NPI assigned

Dec 14, 2006

Last updated

Oct 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Lutz, O.D.NPI 1962406496

Title

Optometrist

Phone

(281) 334-5277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Teresa Brewer Lutz, O.D.

  • Optometrist
  • Webster, TX
  • NPI 1962406496
  Medicare reassignment NPD Authorized official
• Charles Robert Gibson, O.D.

  • Optometrist
  • Webster, TX
  • NPI 1205830262
  Medicare reassignment NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1871655118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 MARINA BAY DR",
            "address_2": "SUITE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732735",
            "telephone_number": "281-334-5277",
            "fax_number": "281-334-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 MARINA BAY DR",
            "address_2": "SUITE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732735",
            "telephone_number": "281-334-5277",
            "fax_number": "281-334-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "281-334-5277",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4177TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed H Soliman, DC
• Zyaad Hesham-Adel Soliman, DC
• South Houston Med Equip LLC
• South Shore Dialysis Center LP (South Shore Dialysis Center)
• South Shore ER LLC
• South Shore Medical Center
• South Shore Surgicenter LLC
• Southwest Counseling Services, PC
• Space City Associates of Geriatrics, PA (Space City Geriatrics)
• Brandon Spain

• Optometrist in League City, TX
• Providers in League City, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.