Individual provider Active NPI

Hulon Houston Pass, O.D.

  • Optometrist
  • Fort Stockton, TX
National Provider Identifier
1952415390
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3081TG Issued in TX
Practice address
605 N Main St
Fort Stockton, TX 79735-5625
Phone
(432) 336-3662
Fax
(432) 336-7806
NPI assigned
Aug 19, 2006
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3081TG TX Primary

Addresses

Primary practice location

605 N Main St
Fort Stockton, TX 79735-5625

Mailing address

PO Box 1568
Fort Stockton, TX 79735-1568
Phone (432) 336-3662

Other identifiers 2

IdentifierTypeStateIssuer
093195802MedicaidTX
410007044OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000690 TX Practitioner - Optometry 1951419795 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Fort Stockton, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3081TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Eyecare Optometrist CurrentSince Nov 28, 2011 Accepting new patients
Richard B Culbert MD PA Past Accepting new patients

Locations

605 N Main St
Fort Stockton, TX 79735
Phone (432) 336-3662

611 S Oak St
Pecos, TX 79772
Phone (432) 280-2020

Practitioners & affiliated clinicians

Practitioners 1

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.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1952415390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797351568",
            "telephone_number": "432-336-3662",
            "fax_number": "432-336-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355625",
            "telephone_number": "432-336-3662",
            "fax_number": "432-336-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "HULON",
        "middle_name": "HOUSTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3081TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093195802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410007044",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

Verify at the official NPI Registry.