Organization Active NPI

Mia Mio Inc

  • Optometrist
  • Webster, TX
National Provider Identifier
1932380268
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04490T Issued in TX
Legal business name
MIA MIO INC
Practice address
1209 W Bay Area Blvd
Webster, TX 77598-3832
Phone
(281) 338-1919
Fax
(713) 995-0548
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mia M. Hung, O.D.NPI 1720191505
Title
O.D.
Phone
(281) 338-1919

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 04490T TX Primary

Addresses

Primary practice location

1209 W Bay Area Blvd
Webster, TX 77598-3832

Mailing address

PO Box 5388
Houston, TX 77262-5388
Phone (281) 338-1919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000152 TX Part B Supplier - Clinic/Group Practice 9436233533 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7610 Fulton St
Ste A
Houston, TX 77022
Phone (713) 699-8443

4400 North Fwy
Spc A400
Houston, TX 77022
Phone (713) 699-8443

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1932380268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5388",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772625388",
            "telephone_number": "281-338-1919",
            "fax_number": "713-995-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W BAY AREA BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983832",
            "telephone_number": "281-338-1919",
            "fax_number": "713-995-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA MIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HUNG",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "281-338-1919",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04490T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.