Active NPI
Greenspoint Vision Center Inc.
- Optometrist
- Houston, TX
National Provider Identifier
1982931663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2085T
- Legal business name
- GREENSPOINT VISION CENTER INC.
- Practice address
- 12122 Greenspoint Dr
Houston, TX 77060-2002 - Phone
- (281) 875-5439
- Fax
- (281) 875-2266
- NPI assigned
- Nov 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khalil Nicolus Marcha, O.D.
- Title
- President
- Phone
- (281) 875-5439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2085T | TX | Primary |
Addresses
Primary practice location
12122 Greenspoint Dr
Houston, TX 77060-2002
Mailing address
12122 Greenspoint Dr
Houston, TX 77060-2002
Phone (281) 875-5439
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0935025-02 | Medicaid | TX | |
| 1306925573 | Other | TX | INDIVIDUAL NPI |
| 1982931663 | Other | TX | GROUP NPI |
Other names 1
- vision source
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261008000000",
"number": "1982931663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12122 GREENSPOINT DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602002",
"telephone_number": "281-875-5439",
"fax_number": "281-875-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12122 GREENSPOINT DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602002",
"telephone_number": "281-875-5439",
"fax_number": "281-875-2266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENSPOINT VISION CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-17",
"last_updated": "2009-12-17",
"status": "A",
"authorized_official_last_name": "MARCHA",
"authorized_official_first_name": "KHALIL",
"authorized_official_middle_name": "NICOLUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-875-5439",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "2085T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0935025-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1306925573",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1982931663",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "vision source",
"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 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.