STEPHEN GLENN SLADE MD PA (NPI# 1053698464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053698464 |
| Entity Type | Organization |
| Organization Name | STEPHEN GLENN SLADE MD PA |
| Other Organization Name | SLADE & BAKER VISION CENTER |
| Practice Address |
3900 Essex Ln Suite 101 Houston TX 77027-5133 |
| Mailing Address |
3900 Essex Ln Suite #101 Houston TX 77027-5133 |
| Practice Telephone | 7136265544 |
| Practice Fax Number | 7136267744 |
| Mailing Telephone | 7136265544 |
| Mailing Fax Number | 7136267744 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | MRS. DELFINA A VILLEGAS (ASSISTANT MANAGER) |
| Authorized Official Telephone | 7136265544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | F7175 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Slade & Baker Vision Center | Doing Business As Name - Organization |
| Street Address |
3900 ESSEX LN SUITE 101 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77027-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750345658 | Richard N Baker | Optometrist | 3900 Essex Ln, Suite 101, Houston, TX 77027-5133 | 2006-04-17 |
| 1730613472 | Justin Champion | Specialist/Technologist, Other | 3900 Essex Ln, Suite 500, Houston, TX 77027-5133 | 2017-04-19 |
| 1104379940 | Eurydicea Warren | Specialist/Technologist, Other | 3900 Essex Ln, Suite 500, Houston, TX 77027-5133 | 2016-07-28 |
| 1093168486 | Nisha Burleson | Specialist/Technologist, Other | 3900 Essex Ln, Suite 500, Houston, TX 77027-5133 | 2016-07-20 |
| 1932552965 | Tanya Bennett | Specialist/Technologist, Other | 3900 Essex Ln, Suite 500, Houston, TX 77027-5133 | 2016-07-14 |
| 1962873372 | Robert Day | Specialist/Technologist, Other | 3900 Essex Ln, 500, Houston, TX 77027-5133 | 2015-10-12 |
| 1902293079 | Stephanie Tucker | Specialist/Technologist, Other | 3900 Essex Ln, 500, Houston, TX 77027-5133 | 2015-04-16 |
| 1750778882 | Robert Maldonado | Specialist/Technologist, Other | 3900 Essex Ln, 500, Houston, TX 77027-5133 | 2015-04-15 |
| 1538556667 | Alan Licon | Specialist/Technologist, Other | 3900 Essex Ln, 500, Houston, TX 77027-5133 | 2015-04-15 |
| 1114313244 | Li Yu | Specialist/Technologist, Other | 3900 Essex Ln, 500, Houston, TX 77027-5133 | 2015-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456185 | River Oaks Senior Living LLC | Assisted Living Facility | 4 Briar Dale Ct, Houston, TX 77027 | 2020-01-18 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1841837986 | Veronica Welch | Social Worker | 464 Wild Indigo, Suite 150, Houston, TX 77027 | 2019-12-09 |
| 1184288805 | Gabriella Postalian-rizzo | Dentist | 4126 Southwest Freeway, Suite 1040, Houston, TX 77027 | 2019-04-29 |
| 1659856680 | Rachel Menges | Nurse Practitioner | 4200 Twelve Oaks Place, Houston, TX 77027 | 2018-09-25 |
| 1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
| 1760960892 | Emily Moore Netherton | Social Worker | 4646 Wild Indigo, Suite 150, Houston, TX 77027 | 2018-07-31 |
| 1548757826 | Foundations Pediatric Therapy of Houston | Occupational Therapist | 3312 Marquart Street, Houston, TX 77027 | 2018-04-22 |
| 1962905091 | Christina Raeann Gkinos | Licensed Practical Nurse | 3315 Marquart Street, 209, Houston, TX 77027 | 2018-03-15 |
| 1508366337 | Florence Okotie | Registered Nurse | 3315 Marquette St, Houston, TX 77027 | 2018-02-19 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000737 | Nadim Sami Nassif | Ophthalmology | 5150 Hidalgo St Unit 403, Houston, TX 77056-6409 | 2019-02-21 |
| 1770050254 | Mann Eye Center, Pa | Ophthalmology | 6624 Fannin St Ste 2105, Houston, TX 77030-2333 | 2018-11-01 |
| 1760922132 | Usha R Pinninti Md Pllc | Ophthalmology | 1213 Hermann Dr Ste 120, Houston, TX 77004-7008 | 2017-03-03 |
| 1417356494 | Coastal Eye Associates | Ophthalmology | 1900 North Loop W Ste 360, Houston, TX 77018-8100 | 2014-08-15 |
| 1891137345 | Marcus Ross Schatte | Ophthalmology | 6625 Westchester Ave, Houston, TX 77005-3755 | 2013-07-25 |
| 1518200179 | Nisha V Shah | Ophthalmology | 1701 Sunset Blvd Ste 6300, Houston, TX 77005-1713 | 2013-04-02 |
| 1538401583 | Jennifer Lynn Murdock | Ophthalmology | 3730 Kirby Dr Ste 900, Houston, TX 77098-3976 | 2013-03-17 |
| 1275877532 | Samuel Shoss | Ophthalmology | 11910 Mcleods Ln, Houston, TX 77024-5033 | 2012-11-26 |
| 1164775946 | Mattioli Vision Professionals, Pa | Ophthalmology | 2200 Southwest Fwy Ste 500, Houston, TX 77098-4786 | 2012-10-18 |
| 1619225976 | James Chong | Ophthalmology | 6918 Corporate Dr Ste B4, Houston, TX 77036-5140 | 2012-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.