ALPHA EYECARE ASSOCIATES, PLLC - NPI NUMBER 1396920567

Summary

Provider Name: ALPHA EYECARE ASSOCIATES, PLLC

NPI Number: 1396920567

Clasification: Clinic/Center (261Q00000X)

Address:
12401 S POST OAK RD
SUITE D
HOUSTON, TX
ZIP 77045

Phone Number: (713) 721-9000



Detailed Information

ALPHA EYECARE ASSOCIATES, PLLC is a clinic/center in Houston, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). The assigned NPI number for this provider is 1396920567 and is registered as an organization entity type.

The provider's business address is:

12401 S POST OAK RD
SUITE D
HOUSTON, TX
ZIP 77045-007
Phone: (713) 721-9000

The provider's authorized official is Samantha D Walker .
The authorized official title is Office Manager and has the following contact phone number (713) 721-9000.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 1/7/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261Q00000X Clinic/Center 3114TG TX Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 T92157 MEDICARE UPIN TX
2 00741Z MEDICARE PIN TX
3 093406901 MEDICAID TX

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1396920567 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name ALPHA EYECARE ASSOCIATES, PLLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 12401 S POST OAK RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address SUITE D The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name HOUSTON The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name TX The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 770452007 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 7137219000 The telephone number associated with the location address of the provider being identified.
12 Provider Enumeration Date 1/7/2008 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 1/7/2008 The date that a record was last updated or changed.
14 Authorized Official Last Name WALKER The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name SAMANTHA The first name of the authorized official.
16 Authorized Official Middle Name D The middle name of the authorized official.
17 Authorized Official Title or Position OFFICE MANAGER The title or position of the authorized official.
18 Authorized Official Telephone Number 7137219000 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 261Q00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Provider License Number 1 3114TG The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
21 Provider License Number State Code 1 TX Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 T92157 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier State 1 TX
26 Other Provider Identifier 2 00741Z Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier Type Code 2 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier State 2 TX
29 Other Provider Identifier 3 093406901 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier Type Code 3 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
31 Other Provider Identifier State 3 TX
32 Is Organization Subpart N

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.