Organization Active NPI

SMJ Eye Group PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1932773264
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SMJ EYE GROUP PLLC
Doing business as
Memorial City Eye Care
Practice address
9453 Katy Fwy Ste B
Houston, TX 77024-1503
Phone
(346) 395-5563
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Jitesh Patel, ODNPI 1912039579
Title
Managing Member
Phone
(281) 300-1447

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

9453 Katy Fwy Ste B
Houston, TX 77024-1503

Mailing address

PO Box 79124
Houston, TX 77279-9124
Phone (281) 300-1447

Other names 1

  • Memorial City Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230620002075 TX Part B Supplier - Clinic/Group Practice 8820497860 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10505 Town and Country Way
#79124
Houston, TX 77024

9453 Katy Fwy
Ste B
Houston, TX 77024
Phone (346) 395-5563

248 Memorial City Way
Ste B
Houston, TX 77024
Phone (346) 395-5563

Practitioners & affiliated clinicians

Practitioners 1

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": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1932773264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79124",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772799124",
            "telephone_number": "281-300-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9453 KATY FWY STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241503",
            "telephone_number": "346-395-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMJ EYE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-12-16",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITESH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-300-1447",
        "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": [
        {
            "organization_name": "Memorial City Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial City Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.