Individual provider Active NPI

Luis Gerardo Diaz, OD

  • Optometrist
  • Spring, TX
National Provider Identifier
1013630581
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10663 Issued in TX
Practice address
25511 Budde Rd Ste 3801
Spring, TX 77380-4087
Phone
(281) 419-3355
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10663 TX Primary

Addresses

Primary practice location

25511 Budde Rd Ste 3801
Spring, TX 77380-4087

Mailing address

25511 Budde Rd Ste 3801
Spring, TX 77380-4087
Phone (281) 419-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623001228 TX Practitioner - Optometry 0547628547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optics Eyecare PLLCGroup PAC ID 3274756077, 2 clinicians

Practice addresses (Care Compare)

12343 Main St
Houston, TX 77035-6205
Phone (713) 597-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10663TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyehealth Consultants of Texas PLLC Optometrist CurrentSince Jun 28, 2023 Accepting new patients
Optics Eyecare PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

12343 Main St
Houston, TX 77035
Phone (713) 597-2020

11811 FM 1960 Rd W
Ste 198
Houston, TX 77065
Phone (281) 469-4000

25511 Budde Rd
Ste 3801
The Woodlands, TX 77380
Phone (281) 419-3355

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1013630581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 3801",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804087",
            "telephone_number": "281-419-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 3801",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804087",
            "telephone_number": "281-419-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LUIS",
        "middle_name": "GERARDO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.