NPIMap

Organization Active NPI

Scarsdale Vision Center

  • Optometrist
  • Houston, TX
National Provider Identifier
1912196676
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5748TG Issued in TX
Legal business name
SCARSDALE VISION CENTER
Practice address
10904 Scarsdale Blvd Ste 140
Houston, TX 77089-6034
Phone
(281) 464-0885
Fax
(281) 464-0885
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Michael Tuan Pham, O.D.NPI 1821080474
Title
Owner
Phone
(281) 464-0885

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 5748TG TX Primary

Addresses

Primary practice location

10904 Scarsdale Blvd Ste 140
Houston, TX 77089-6034

Mailing address

10904 Scarsdale Blvd Ste 140
Houston, TX 77089-6034
Phone (281) 464-0885

National Provider Directory

National Provider Directory

Locations

10904 Scarsdale Blvd
Ste 140
Houston, TX 77089
Phone (281) 464-0885

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1912196676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 SCARSDALE BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896034",
            "telephone_number": "281-464-0885",
            "fax_number": "281-464-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 SCARSDALE BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896034",
            "telephone_number": "281-464-0885",
            "fax_number": "281-464-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARSDALE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-464-0885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5748TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.