Organization Active NPI

Conroe Eyes

  • Optometrist
  • Conroe, TX
National Provider Identifier
1912303074
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7244 Issued in TX
Legal business name
CONROE EYES
Practice address
2104 N Frazier St Ste 180
Conroe, TX 77301-1252
Phone
(936) 202-3043
Fax
(281) 298-8533
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Dr. Tammy Pham, O.D.NPI 1982856068
Title
Owner Optometrist
Phone
(832) 948-8885

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 7244 TX Primary

Addresses

Primary practice location

2104 N Frazier St Ste 180
Conroe, TX 77301-1252

Mailing address

2104 N Frazier St Ste 180
Conroe, TX 77301-1252
Phone (936) 202-3043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021003575 TX Part B Supplier - Clinic/Group Practice 9234627332 Receives reassigned benefits from 2 practitioners
Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

Locations

2104 N Frazier St
Ste H
Conroe, TX 77301

2104 N Frazier St
Ste 180
Conroe, TX 77301
Phone (936) 202-3043

Practitioners & affiliated clinicians

Practitioners 2

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": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1912303074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 N FRAZIER ST STE 180",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011252",
            "telephone_number": "936-202-3043",
            "fax_number": "281-298-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 N FRAZIER ST STE 180",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011252",
            "telephone_number": "936-202-3043",
            "fax_number": "281-298-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "832-948-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.