Willowbrook Eye Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7398 Issued in TX

Legal business name

WILLOWBROOK EYE ASSOCIATES PLLC

Practice address

1678 Willowbrook Mall
Houston, TX 77070-6027

Phone

(281) 970-3840

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Naveera Farooque, ODNPI 1720218712

Title

Owner

Phone

(281) 970-3840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Naveera Farooque, O.D.

  • Optometrist
  • Tomball, TX
  • NPI 1720218712
  Medicare reassignment NPD Authorized official
• Emily Walker, OD

  • Optometrist
  • Bellaire, TX
  • NPI 1750934212
  Medicare reassignment NPD

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1891134367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 WILLOWBROOK MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 WILLOWBROOK MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706027",
            "telephone_number": "281-970-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "FAROOQUE",
        "authorized_official_first_name": "NAVEERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-970-3840",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willowbrook Ambulatory Surgery Center LP
• Willowbrook Cardiovascular Associates, P.a.
• Willowbrook Dialysis Center LP (Willowbrook Dialysis)
• Willowbrook EMS
• Willowbrook EMS Group Inc (Willowbrook EMS)
• Willowbrook Imaging LLC
• Willowbrook Infusion Center, PA
• Willowbrook Mall Dental
• Willowbrook MRI
• Willowbrook Procedure Centers, LP

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.