Individual provider Active NPI

Osita Ozuzu

  • Optometrist
  • Houston, TX
National Provider Identifier
1912551045
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008981 Issued in NY
Practice address
14405 Bellaire Blvd Ste B
Houston, TX 77083-7534
Phone
(936) 235-9357
NPI assigned
Jul 26, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008981 NY Primary

Addresses

Primary practice location

14405 Bellaire Blvd Ste B
Houston, TX 77083-7534

Mailing address

18807 Forest Deer Rd
Houston, TX 77084-2238
Phone (936) 235-9357

Other names 1

  • Dr. Osita Ozuzu Professional name

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
I20201229002148 TX Practitioner - Optometry 9032535620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9783TXMDProfessional Counselor
TUV008981NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Reach Family Eye Clinic, PLLC Optometrist CurrentSince Dec 22, 2020 Accepting new patients

Locations

1815 Brothers Blvd
College Station, TX 77845
Phone (936) 235-9357

Organizations & group practices 1

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1912551045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18807 FOREST DEER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842238",
            "telephone_number": "936-235-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 BELLAIRE BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837534",
            "telephone_number": "936-235-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZUZU",
        "first_name": "OSITA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSITA",
            "last_name": "OZUZU",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.