Bella Vista Eyecare Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

7252 Issued in TX

Legal business name

BELLA VISTA EYECARE ASSOCIATES, PA

Practice address

3510 W Main St
League City, TX 77573-1733

Phone

(281) 724-3040

Fax

(281) 724-3041

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Ann Eickhoff, O.D.NPI 1386883403

Title

Optometrist/Owner

Phone

(281) 724-3040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Ann Eickhoff, O.D.

  • Optometrist
  • League City, TX
  • NPI 1386883403
  Medicare reassignment NPD Authorized official
• Hailey Victoria Young, OD

  • Optometrist
  • League City, TX
  • NPI 1598685141
  NPD

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1982966743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731733",
            "telephone_number": "281-724-3040",
            "fax_number": "281-724-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731733",
            "telephone_number": "281-724-3040",
            "fax_number": "281-724-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA EYECARE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "EICKHOFF",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "281-724-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Bedard, R.PH.
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• Behrens Southern Comfort Medical Supply, LLC
• Anika Trenelle Bell-Gray, MD
• Lashasta S Bell, LPC
• Victoria Kathleen Benavides, CPHT
• Chailby Monique Bennett
• Gabrielle Bennett, NP
• George C Benson Jr., DC
• Haley Lauren Berg, FNP-C

• Optometrist in League City, TX
• Providers in League City, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.