Active NPI
Soper Brothers, Inc.
- Ocularist
- Houston, TX
National Provider Identifier
1891883690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | DR3105 | TX | |
| Contact Lens Fitter | 156FC0801X | DR3105 | TX | |
| Ocularist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR3105 | Other | TX | TWC |
| 38074 | Other | TX | CIDC |
| 086142901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930052563 | TX | DME Supplier - Ocularist | 2668591397 | Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1891043147
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.