MEMORIAL EYE, PA (NPI# 1740256510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740256510 |
| Entity Type | Organization |
| Organization Name | MEMORIAL EYE, PA |
| Other Organization Name | MEMORIAL EYE |
| Practice Address |
2677 Wilcrest Dr Houston TX 77042-3211 |
| Practice Telephone | 7139771170 |
| Practice Fax Number | 7139773327 |
| Mailing Telephone | 7139771170 |
| Mailing Fax Number | 7139773327 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | DR. AMELIA J. HOLBROOK (OWNER/OD) |
| Authorized Official Telephone | 2815565353 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0193799-01 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Eye | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548236151 | Memorial Eye, Pa | Technician/Technologist | 9620 Westheimer Rd, Houston, TX 77063-3205 | 2006-02-23 |
| 1164498770 | Memorial Eye, Pa | Technician/Technologist | 15080 Memorial Dr, Houston, TX 77079-4302 | 2006-02-23 |
| Street Address |
2677 WILCREST DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77042-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821063181 | John Paul Tavares | Optometrist | 2677 Wilcrest Dr, Houston, TX 77042-3211 | 2006-02-21 |
| 1780163139 | Jolynn Hoang | Optometrist | 2677 Wilcrest Dr, Houston, TX 77042 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823208 | Carlton Petties II | Registered Nurse | 2424 Willcrest Drive, 110, Houston, TX 77042 | 2020-05-21 |
| 1922566645 | Crystal Ann White | Registered Nurse | 2424 Wildcrest Suite 110, Houston, TX 77042 | 2019-03-12 |
| 1558825158 | Egheosemene Ebadan | Registered Nurse | 2424 Wilcrest Drive, Suite 110, Houston, TX 77042 | 2019-01-28 |
| 1225510670 | Adiba Maureen Agbu | Registered Nurse | 2424 Wilcrest Drive 110, Houston, TX 77042 | 2018-09-02 |
| 1023590460 | Ashlyn Nicole Parks | Licensed Vocational Nurse | 110, 2424 Wilcrest Dr, Houston, TX 77042 | 2018-09-01 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1194225011 | Delores Sublett | Registered Nurse | 9797 Meadowglen 1013, Houston, TX 77042 | 2018-02-16 |
| 1073012068 | Brandon C. Cervantes | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 | 2018-02-06 |
| 1851805782 | Ideal Dental of Westchase Pllc | Dentist | 2550 Citywest Blvd, Suite 300, Houston, TX 77042 | 2017-11-30 |
| 1851814131 | Elizabeth Kaluanya | Nurse Practitioner | 9850 Meadowglen Ln Apt 142, Houston, TX 77042 | 2017-07-19 |
| Find all providers in zip 77042 | ||||
| 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 |
|---|---|---|---|---|
| 1104425743 | Lara Fady | Optometrist | 13614 Meridian Springs Ln, Houston, TX 77077-2123 | 2020-10-24 |
| 1699374538 | Daniel Max & Marc Andrea LLC | Optometrist | 1051 Silber Rd, Houston, TX 77055-7134 | 2020-10-21 |
| 1518572122 | Memorial 2020 Pllc | Optometrist | 12512 Memorial Dr Ste A, Houston, TX 77024-6008 | 2020-09-10 |
| 1053926956 | National Vision Inc | Optometrist | 5807 E Sam Houston Pkwy N Ste B, Houston, TX 77049-2501 | 2020-09-09 |
| 1205440641 | Rachel J Rippey Od Pa | Optometrist | 5800 Bellaire Blvd Ste 112a, Houston, TX 77081-5537 | 2020-09-02 |
| 1073124913 | Carlos A Calvo | Optometrist | 2727 Revere St Apt 1046, Houston, TX 77098-1342 | 2020-08-13 |
| 1073124996 | Eye Law Vu Pllc | Optometrist | 2401 N Shepherd Dr Ste 110, Houston, TX 77008-1957 | 2020-08-13 |
| 1831700335 | Amir Karbaschi Pllc | Optometrist | 4191 Bellaire Blvd Ste 100, Houston, TX 77025-1003 | 2020-08-10 |
| 1518576982 | Kaylie Alina A Young | Optometrist | 1020 Willowbrook Mall Ste 1020, Houston, TX 77070-5788 | 2020-07-30 |
| 1841809787 | Jennifer Pham | Optometrist | 10013 Almeda Genoa Rd Ste G, Houston, TX 77075-2445 | 2020-07-27 |
| Find all providers in HOUSTON | ||||
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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.