Dr. Sandra E. Collazo, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5109TG Issued in TX

Legal business name

DR. SANDRA E. COLLAZO, P.C.

Practice address

10488 Katy Fwy Ste a
Houston, TX 77043-5106

Phone

(713) 827-9800

NPI assigned

Nov 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Collazo, O.D.NPI 1659447928

Title

President

Phone

(713) 827-9800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra E Collazo, OD

  • Optometrist
  • Houston, TX
  • NPI 1659447928
  NPD (past) Authorized official

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

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321056000000",
    "number": "1932486495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10488 KATY FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10488 KATY FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435106",
            "telephone_number": "713-827-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SANDRA E. COLLAZO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-12",
        "last_updated": "2011-11-12",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-827-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5109TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "918534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COAST TO COAST VISION",
            "identifier": "16849",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101690903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; 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.