Organization Active NPI

Vision Pro, P.a.

  • Corneal and Contact Management Optometrist
  • Spring, TX
National Provider Identifier
1871704775
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
05881TG Issued in TX
Legal business name
VISION PRO, P.A.
Practice address
20920 Kuykendahl Rd.
Ste. C
Spring, TX 77379
Phone
(281) 353-3937
Fax
(281) 528-9451
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Paul Proske, O.D.NPI 1255308532
Title
President
Phone
(281) 353-3937

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 05881TG TX Primary

Addresses

Primary practice location

20920 Kuykendahl Rd.
Ste. C
Spring, TX 77379

Mailing address

20920 Kuykendahl Rd
Ste C
Spring, TX 77379-3378
Phone (281) 353-3937

Other identifiers 1

IdentifierTypeStateIssuer
208606801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000067 TX Part B Supplier - Clinic/Group Practice 3870674781 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1095688Vision Pro, PA20920 Kuykendahl Rd, Suite C, Spring, TX 77379Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

20920 Kuykendahl Rd
Ste C
Spring, TX 77379
Phone (281) 353-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1871704775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20920 KUYKENDAHL RD",
            "address_2": "STE C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793378",
            "telephone_number": "281-353-3937",
            "fax_number": "281-528-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20920 KUYKENDAHL RD.",
            "address_2": "STE. C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-353-3937",
            "fax_number": "281-528-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PRO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "PROSKE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-353-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "05881TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208606801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

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

Verify at the official NPI Registry.