Provider Demographics
NPI:1386833150
Name:KEMP & PETERSON ODS PC
Entity Type:Organization
Organization Name:KEMP & PETERSON ODS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNERSHIP
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-451-3330
Mailing Address - Street 1:311 FREEPORT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2310
Mailing Address - Country:US
Mailing Address - Phone:713-451-3330
Mailing Address - Fax:713-451-3454
Practice Address - Street 1:311 FREEPORT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2310
Practice Address - Country:US
Practice Address - Phone:713-451-3330
Practice Address - Fax:713-451-3454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0369886-01OtherDR. ROBERT H. KEMP O.D.
TX1272353-04OtherDR. ROBERT H. PETERSON O.D.
TX019334401Medicaid
TXCH3564OtherRAILROAD MEDICARE UPIN
TXCH3564OtherRAILROAD MEDICARE UPIN
TX0903920001Medicare NSC