DECORDOVA EYEWEAR LLC (NPI# 1730613076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730613076 |
| Entity Type | Organization |
| Organization Name | DECORDOVA EYEWEAR LLC |
| Practice Address |
12230 West Lake Houston Parkway Suite 155 Humble TX 77044 |
| Mailing Address |
25510 Buffalo Springs Ct Spring TX 77373-8445 |
| Practice Telephone | 2817632006 |
| Mailing Telephone | 2817632006 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | DR. KERR-ANN HODGE (OWNER) |
| Authorized Official Telephone | 2817632006 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
12230 WEST LAKE HOUSTON PARKWAY SUITE 155 |
| City | HUMBLE |
| State | TX |
| Zip Code | 77044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073163077 | Michael Paul Cyr | Technician | 11306 Christian Dr., Houston, TX 77044 | 2019-09-12 |
| 1710458013 | Taylor Powell | Licensed Practical Nurse | 15027 Sheldon Ridge Way, Houston, TX 77044 | 2018-12-12 |
| 1205315611 | Magdalene Patricia Onyenekwe | Registered Nurse | 15410 Broken Hills Lane, Houston, TX 77044 | 2018-08-08 |
| 1407392871 | Keisha Aniece Welsh | Registered Nurse | 12919 Barkley Bend Lane, Houston, TX 77044 | 2017-01-10 |
| 1710438213 | Texas Alliance Surgical Center, LLC | Clinic/Center | 14315 E. Sam Houston Pkwy, Ste. 200, Houston, TX 77044 | 2016-10-19 |
| 1801345038 | National Vision, Inc. | Technician/Technologist | 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 | 2016-09-29 |
| 1043768443 | Signature Smiles Humble Pllc | Dentist | 14315 E. Sam Houston Parkway, Suite 100, Houston, TX 77044 | 2016-09-14 |
| 1902290554 | Andrea Folayan | Dentist | Four Lion Dental Boutique, 16430 West Lake Houston #700, Houston, TX 77044 | 2015-03-21 |
| 1306237904 | Summerwood Medical Center | Clinic/Center | 12665 W Lake Houston Pkwy, Houston, TX 77044 | 2015-02-18 |
| 1073915476 | Summerwood Smiles Dentistry PC | Dentist | 12661 W Lake Houston Parkway, Suite G, Houston, TX 77044 | 2014-09-17 |
| Find all providers in zip 77044 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1124583190 | Rashi Prakash | Optometrist | 18906 Jodywood Dr, Humble, TX 77346-3142 | 2019-02-04 |
| 1669928693 | Christina Guerrero | Optometrist | 9802 Fm 1960 Bypass Rd W Ste 110, Humble, TX 77338-3572 | 2016-08-30 |
| 1386096634 | Salwa Azeez | Optometrist | 20440 Highway 59 N Ste 100, Humble, TX 77338-2445 | 2016-07-11 |
| 1912366717 | Phamily Eyecare, P.a. | Optometrist | 20131 Highway 59 N Ste 1140, Humble, TX 77338-2331 | 2016-02-22 |
| 1376935437 | Prestige Eye Care, Pllc | Optometrist | 9665 Fm 1960 Bypass Rd W Ste A, Humble, TX 77338-4043 | 2015-02-26 |
| 1922437615 | Chantay Morris | Optometrist | 3103 Fm 1960 Rd W Ste V, Humble, TX 77338-3383 | 2013-11-04 |
| 1811339740 | Melanie Leung | Optometrist | 9701 N Sam Houston Pkwy E Ste 100, Humble, TX 77396-4636 | 2013-07-19 |
| 1205176443 | L & T Od Pa | Optometrist | 20131 Highway 59 N Ste 1000, Humble, TX 77338-2313 | 2013-02-26 |
| 1487901849 | Irene Young Chu | Optometrist | 19623 Eastex Fwy, Humble, TX 77338-3500 | 2012-08-04 |
| Find all providers in HUMBLE | ||||
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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.