Organization Active NPI

Eye Impact PA

  • Optometrist
  • Houston, TX
National Provider Identifier
1871920801
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5813-T Issued in TX
Legal business name
EYE IMPACT PA
Practice address
5601 Washington Ave
Houston, TX 77007-5134
Phone
(832) 319-7732
Fax
(832) 319-7737
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Gary Nguyen, O.D.NPI 1356375752
Title
Optometrist
Phone
(832) 319-7732

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5813-T TX Primary

Addresses

Primary practice location

5601 Washington Ave
Houston, TX 77007-5134

Mailing address

5601 Washington Ave
Houston, TX 77007-5134
Phone (832) 319-7732

Other identifiers 1

IdentifierTypeStateIssuer
11616015OtherTXCAQH

National Provider Directory

National Provider Directory

Locations

5601 Washington Ave
Houston, TX 77007
Phone (832) 319-7732

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": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1871920801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 WASHINGTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075134",
            "telephone_number": "832-319-7732",
            "fax_number": "832-319-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 WASHINGTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075134",
            "telephone_number": "832-319-7732",
            "fax_number": "832-319-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE IMPACT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "832-319-7732",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5813-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11616015",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.