Organization Active NPI

Soper Brothers, Inc.

  • Ocularist
  • Houston, TX
National Provider Identifier
1891883690
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
License
81-160-05
Legal business name
SOPER BROTHERS, INC.
Practice address
1213 Hermann Dr Ste 320
Park Plaza Professional Building
Houston, TX 77004-7000
Phone
(713) 521-1263
Fax
(713) 521-1264
NPI assigned
Oct 10, 2006
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Mr. Marcus P. Soper, B.C.O, F.C.L.S.A.
Title
President
Phone
(713) 521-1263

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FC0800X DR3105 TX
Contact Lens FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FC0801X DR3105 TX
OcularistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1700X 81-160-05 Primary
Durable Medical Equipment & Medical Supplies 332B00000X 81-160-05 TX

Addresses

Primary practice location

1213 Hermann Dr Ste 320
Park Plaza Professional Building
Houston, TX 77004-7000

Mailing address

1213 Hermann Dr Ste 320
Park Plaza Professional Building
Houston, TX 77004-7000
Phone (713) 521-1263

Other identifiers 3

IdentifierTypeStateIssuer
DR3105OtherTXTWC
38074OtherTXCIDC
086142901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930052563 TX DME Supplier - OcularistDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 2668591397 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1213 Hermann Dr
Ste 320
Houston, TX 77004
Phone (713) 521-1263

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1891883690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 320",
            "address_2": "PARK PLAZA PROFESSIONAL BUILDING",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047000",
            "telephone_number": "713-521-1263",
            "fax_number": "713-521-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 320",
            "address_2": "PARK PLAZA PROFESSIONAL BUILDING",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047000",
            "telephone_number": "713-521-1263",
            "fax_number": "713-521-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPER BROTHERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-521-1263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O, F.C.L.S.A."
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "TX",
            "license": "DR3105",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "TX",
            "license": "DR3105",
            "primary": false
        },
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": "81-160-05",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "81-160-05",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TWC",
            "identifier": "DR3105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "38074",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086142901",
            "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 2, 2008; 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.