Organization Active NPI

LTW Vision Empire, P.a.

  • Optometrist
  • Katy, TX
National Provider Identifier
1912081647
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6270TG Issued in TX
Legal business name
LTW VISION EMPIRE, P.A.
Practice address
22762 Westheimer Pkwy Ste 405
Katy, TX 77450-8825
Phone
(281) 395-2010
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Dr. Laurence C Wong, O.D.NPI 1497716294
Title
Member
Phone
(713) 240-4069

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 6270TG TX Primary

Addresses

Primary practice location

22762 Westheimer Pkwy Ste 405
Katy, TX 77450-8825

Mailing address

4406 Eden Point LN
Katy, TX 77494-6469
Phone (713) 240-4069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000447 TX Part B Supplier - Clinic/Group Practice 2062503196 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

22762 Westheimer Pkwy
Ste 405
Katy, TX 77450
Phone (281) 395-2010

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1912081647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 EDEN POINT LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946469",
            "telephone_number": "713-240-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22762 WESTHEIMER PKWY STE 405",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508825",
            "telephone_number": "281-395-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTW VISION EMPIRE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-240-4069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6270TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.