Individual provider Active NPI

Faris G. Ohan, O. D.

  • Optometrist
  • Rosenberg, TX
National Provider Identifier
1881681542
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06557TG Issued in TX
Practice address
4000 Avenue I
Rosenberg, TX 77471-3904
Phone
(281) 342-4664
Fax
(281) 232-0894
NPI assigned
Sep 28, 2005
Last updated
Jul 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06557TG TX Primary

Addresses

Primary practice location

4000 Avenue I
Rosenberg, TX 77471-3904

Mailing address

1848 FM 359 Rd
Richmond, TX 77406-2049
Phone (281) 232-8257

Other identifiers 2

IdentifierTypeStateIssuer
019274201MedicaidTX
168288201MedicaidTX

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
I20040916000824 TX Practitioner - Optometry 7911974068 Reassigns benefits to 1 organization
Practice locations: Rosenberg, TX; Wharton, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

202 E Boling Hwy
Wharton, TX 77488-3107
Phone (979) 532-4500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6557TXMDSchool Psychologist
06557TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Eye Care Consultants Inc Optometrist CurrentSince Sep 1, 2017 Accepting new patients
Exceptional Eye Care Consultants Inc Optometrist CurrentSince Mar 28, 2017 Accepting new patients
Larry Wilkinson Optometrist Past Accepting new patients

Locations

1848 FM 359 Rd
Richmond, TX 77406
Phone (281) 232-8257

4000 Avenue I
Rosenberg, TX 77471
Phone (281) 342-4664

201 E Boling Hwy
Wharton, TX 77488
Phone (979) 532-4500

202 E Boling Hwy
Wharton, TX 77488
Phone (281) 701-2871

Interoperability endpoints

  • Direct secure messaging: faris.ohan.1@12705.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1881681542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 FM 359 RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062049",
            "telephone_number": "281-232-8257",
            "fax_number": "281-232-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 AVENUE I",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713904",
            "telephone_number": "281-342-4664",
            "fax_number": "281-232-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHAN",
        "first_name": "FARIS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06557TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019274201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168288201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.