Organization Active NPI

Sara E Iranpour OD PLLC

  • Optometrist
  • Texas City, TX
National Provider Identifier
1962757831
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7637-TG Issued in TX
Legal business name
SARA E IRANPOUR OD PLLC
Practice address
10000 Emmett F Lowry Expy
Suite 1478
Texas City, TX 77591-2127
Phone
(409) 986-2155
Fax
(409) 986-5425
NPI assigned
Jul 17, 2012
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Sara E Iranpour, ODNPI 1306143433
Title
Owner/OD
Phone
(409) 986-2155

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
Optometrist 152W00000X 7637-TG TX Primary

Addresses

Primary practice location

10000 Emmett F Lowry Expy
Suite 1478
Texas City, TX 77591-2127

Mailing address

10000 Emmett F Lowry Expy
Suite 1478
Texas City, TX 77591-2127
Phone (409) 986-2155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120919000211 TX Part B Supplier - Clinic/Group Practice 4385892298 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

12713 FM 1960 Rd W
Houston, TX 77065
Phone (281) 517-0023

7540 Cypress Creek Pkwy
#A
Houston, TX 77070
Phone (281) 890-9960

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.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1962757831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 1478",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912127",
            "telephone_number": "409-986-2155",
            "fax_number": "409-986-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 1478",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912127",
            "telephone_number": "409-986-2155",
            "fax_number": "409-986-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA E IRANPOUR OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "IRANPOUR",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "409-986-2155",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7637-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.