Organization Active NPI

Neighborhood Eye Doctors PLLC

  • Optometrist
  • Spring, TX
National Provider Identifier
1891427399
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEIGHBORHOOD EYE DOCTORS PLLC
Practice address
20750 Kuykendahl Rd Ste 150-B
Spring, TX 77379-3535
Phone
(254) 615-1091
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Michelle Tram Pham, O.DNPI 1144574419
Title
Owner Optometrist
Phone
(405) 664-1658

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 Primary

Addresses

Primary practice location

20750 Kuykendahl Rd Ste 150-B
Spring, TX 77379-3535

Mailing address

15002 Redding Crest LN
Cypress, TX 77429-4644
Phone (405) 664-1658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221024000439 TX Part B Supplier - Clinic/Group Practice 1557737137 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

20750 Kuykendahl Rd
Ste 150B
Spring, TX 77379
Phone (254) 615-1091

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": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1891427399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 REDDING CREST LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294644",
            "telephone_number": "405-664-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20750 KUYKENDAHL RD STE 150-B",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793535",
            "telephone_number": "254-615-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD EYE DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "TRAM",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "405-664-1658",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 24, 2022; 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.