DR. DARRICK SHAWN BUB (NPI# 1619023678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619023678 |
| Entity Type | Individual |
| Full Name | DR. DARRICK SHAWN BUB |
| Credential | O.D. |
| Practice Address |
10411 W Fairmont Pkwy La Porte TX 77571-6014 |
| Practice Telephone | 2819916774 |
| Practice Fax Number | 8322019836 |
| Mailing Telephone | 2819916774 |
| Mailing Fax Number | 8322019836 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5614TG | TX | Eye and Vision Services Providers |
| Street Address |
10411 W FAIRMONT PKWY |
| City | LA PORTE |
| State | TX |
| Zip Code | 77571-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538215504 | Emma Anne Lee | Optometrist | 10411 W Fairmont Pkwy, La Porte, TX 77571-6014 | 2007-01-25 |
| 1326194242 | Bub-lee Eye Center Inc | Optometrist | 10411 W Fairmont Pkwy, La Porte, TX 77571-6014 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831159 | Ml - La Porte, LLC | Skilled Nursing Facility | 3950 Underwood Rd, La Porte, TX 77571 | 2020-04-29 |
| 1487205779 | Deborah Martin | Technician | 1006 Shell Rock Rd, La Poete, TX 77571 | 2019-09-27 |
| 1871899815 | Jamie Lee Anderson | Chiropractor | 1003 S. Broadway St., La Porte, TX 77571 | 2011-02-09 |
| 1700064292 | Pediatric Clinic of Laporte | Pediatrics | 10407 West Fairmont Parkway, Suite B, Laporte, TX 77571 | 2008-02-06 |
| 1518172188 | Larry Alan Ward | Chiropractor | 10335 Shell Rock, La Porte, TX 77571 | 2007-05-14 |
| 1720125008 | Victor Alvarado | Dentist | 400 W Fairmont Pkwy, La Porte, TX 77571 | 2007-01-30 |
| 1417042904 | Cynthia A Bowles | Physician Assistant | 3414 Hwy 146 S, La Porte, TX 77571 | 2006-10-03 |
| 1659473809 | Rahman Sahadat Uddin | Pediatrics | 10407 W Fairmont Pkwy, Ste B, La Porte, TX 77571 | 2006-09-01 |
| 1306950225 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 5205 Meadowplace, La Porte, TX 77571 | 2006-08-18 |
| 1275647190 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 9734 Shellrock Rd, La Porte, TX 77571 | 2006-08-18 |
| Find all providers in zip 77571 | ||||
| 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 |
|---|---|---|---|---|
| 1083220933 | Oculus Interest Vi, LLC | Optometrist | 9001 Spencer Hwy Ste G, La Porte, TX 77571-3898 | 2020-09-16 |
| 1841651676 | Lingyan Anderson | Optometrist | 1014 Hackberry St, La Porte, TX 77571-6914 | 2016-03-07 |
| 1245402882 | Dennis R Miller, Od | Optometrist | 101 W 18th St, La Porte, IN 46350-6631 | 2008-03-24 |
| 1023236882 | Paula J Gring | Optometrist | 422 Perry St, La Porte, IN 46350-3200 | 2007-04-24 |
| 1538215504 | Emma Anne Lee | Optometrist | 10411 W Fairmont Pkwy, La Porte, TX 77571-6014 | 2007-01-25 |
| 1982785200 | Lisa Anne Frazier | Optometrist | 9500 Spencer Hwy, La Porte, TX 77571-3881 | 2006-10-17 |
| 1356433742 | Lawrence Allen Hicks | Optometrist | 47 Pine Lake Ave, La Porte, IN 46350-3027 | 2006-09-29 |
| 1033162656 | Ha Ngoc Dang | Optometrist | 9025 Spencer Hwy, La Porte, TX 77571-3870 | 2006-05-17 |
| 1265480933 | Midwest Eye Consultants, P.C. | Optometrist | 301 J St, La Porte, IN 46350-4734 | 2006-05-05 |
| 1033178900 | Pamela J Heyne-thompson | Optometrist | 1231 N State Road 39, La Porte, IN 46350-2042 | 2006-03-20 |
| Find all providers in LA PORTE | ||||
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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.