Individual provider Active NPI

Alnaz Fazlalizadeh, O.D.

  • Optometrist
  • Spring, TX
National Provider Identifier
1992020267
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7443TG Issued in TX
Practice address
19752 North Fwy
Suite B
Spring, TX 77373-5301
Phone
(281) 288-7026
Fax
(281) 288-7028
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7443TG TX Primary

Addresses

Primary practice location

19752 North Fwy
Suite B
Spring, TX 77373-5301

Mailing address

19752 North Fwy
Suite B.
Spring, TX 77373-5301
Phone (281) 288-7026

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
I20130204000248 TX Practitioner - Optometry 3779747290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19752 Interstate 45
Suite B
Spring, TX 77373-5301
Phone (281) 288-7026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7443TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Faz Eyecare Optometrist CurrentSince Dec 15, 2012 Accepting new patients

Locations

19752 N Freeway
Ste B
Spring, TX 77373
Phone (281) 288-7026

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1992020267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19752 NORTH FWY",
            "address_2": "SUITE B.",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773735301",
            "telephone_number": "281-288-7026",
            "fax_number": "281-288-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19752 NORTH FWY",
            "address_2": "SUITE B",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773735301",
            "telephone_number": "281-288-7026",
            "fax_number": "281-288-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZLALIZADEH",
        "first_name": "ALNAZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7443TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.