Organization Active NPI

Vision Source Cypress PA

  • Optometrist
  • Cypress, TX
National Provider Identifier
1932600780
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SOURCE CYPRESS PA
Practice address
15103 Mason Rd Ste B9
Cypress, TX 77433-6459
Phone
(832) 656-5728
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Megan Stubinski, ODNPI 1063675239
Title
Owner
Phone
(832) 656-5728

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

15103 Mason Rd Ste B9
Cypress, TX 77433-6459

Mailing address

15103 Mason Rd Ste B9
Cypress, TX 77433-6459

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180611000142 TX Part B Supplier - Clinic/Group Practice 5496000739 Receives reassigned benefits from 2 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

15103 Mason Rd
Ste B9
Cypress, TX 77433
Phone (281) 933-3446

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1932600780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15103 MASON RD STE B9",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15103 MASON RD STE B9",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336459",
            "telephone_number": "832-656-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE CYPRESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "STUBINSKI",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-656-5728",
        "authorized_official_name_prefix": "Dr.",
        "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 Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.