4 Eyes PLLC
Organization Active NPI Optometrist · Webster, TX
NPI 1902637366 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1902637366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 4 EYES PLLC
- Practice address
- 1310 Jasmine Ave Ste B
Webster, TX 77598-3402 - Phone
- (281) 707-7765
- Fax
- (281) 707-7766
- NPI assigned
- Aug 8, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Xavier Gregorio, OD
- Title
- Optometrist
- Phone
- (805) 704-8680
Practitioners 2
-
Kathie Huang, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250407000344 | TX | Part B Supplier - Clinic/Group Practice | 4789108275 |
Receives reassigned benefits from 2 practitioners Practice locations: Webster, TX |
National Provider Directory
Locations
1310 Jasmine Ave
Ste B
Webster, TX 77598
Phone (281) 707-7765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1310 Jasmine Ave Ste B
Webster, TX 77598-3402
Mailing address
1310 Jasmine Ave Ste B
Webster, TX 77598-3402
Phone (281) 707-7765
Other names
- Premiere Eye Care
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.