Individual provider Active NPI

Larry A. Spitzberg, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1912034778
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3530TG Issued in TX
Practice address
14441 Memorial Dr Ste 13
Houston, TX 77079-6737
Phone
(281) 497-2988
NPI assigned
Feb 28, 2007
Last updated
Sep 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3530TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 3530TG TX
Low Vision Rehabilitation Optometrist 152WL0500X 3530TG TX

Addresses

Primary practice location

14441 Memorial Dr Ste 13
Houston, TX 77079-6737

Mailing address

14441 Memorial Dr Ste 13
Houston, TX 77079-6737
Phone (281) 497-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090216000396 TX Practitioner - Optometry 9537224167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3530TGTXMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyetrends Memorial PLLC Optometrist CurrentSince Jan 9, 2020 Accepting new patients

Locations

14441 Memorial Dr
Ste 13
Houston, TX 77079
Phone (281) 497-2988

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1912034778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 MEMORIAL DR STE 13",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796737",
            "telephone_number": "281-497-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 MEMORIAL DR STE 13",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796737",
            "telephone_number": "281-497-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZBERG",
        "first_name": "LARRY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3530TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3530TG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "3530TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.