Organization Active NPI

Pasadena Vision PLLC

  • Optometrist
  • Pasadena, TX
National Provider Identifier
1922722362
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PASADENA VISION PLLC
Practice address
5767 Fairmont Pkwy
Pasadena, TX 77505-3905
Phone
(281) 772-5283
Fax
(281) 998-9991
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Cecilia Cook, ODNPI 1689746463
Title
Optometrist
Phone
(281) 772-5283

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 Primary

Addresses

Primary practice location

5767 Fairmont Pkwy
Pasadena, TX 77505-3905

Mailing address

5767 Fairmont Pkwy
Pasadena, TX 77505-3905
Phone (281) 991-1166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230815001543 TX Part B Supplier - Clinic/Group Practice 4284096827 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Locations

5767 Fairmont Pkwy
Pasadena, TX 77505
Phone (281) 772-5283

Practitioners & affiliated clinicians

Practitioners 3

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": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1922722362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053905",
            "telephone_number": "281-991-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053905",
            "telephone_number": "281-772-5283",
            "fax_number": "281-998-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "281-772-5283",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.