Organization Active NPI

Kevlar Eye

  • Optometrist
  • Humble, TX
National Provider Identifier
1972253987
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KEVLAR EYE
Doing business as
TODAYS VISION ATASCOCITA
Practice address
6730 Atascocita Rd Ste 101
Humble, TX 77346-1994
Phone
(281) 883-4774
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Kevin Van Pham, ODNPI 1619472701
Title
Doctor/Owner
Phone
(281) 883-4774

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

6730 Atascocita Rd Ste 101
Humble, TX 77346-1994

Mailing address

6730 Atascocita Rd Ste 101
Humble, TX 77346-1994
Phone (281) 883-4774

Other names 1

  • TODAYS VISION ATASCOCITA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926002332 TX Part B Supplier - Clinic/Group Practice 9830543792 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

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": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1972253987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 ATASCOCITA RD STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461994",
            "telephone_number": "281-883-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ATASCOCITA RD STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461994",
            "telephone_number": "281-883-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVLAR EYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "281-883-4774",
        "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": [
        {
            "organization_name": "TODAYS VISION ATASCOCITA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.