Individual provider Active NPI

Gilbert Houston, OD

  • Optometrist
  • Ponte Vedra Beach, FL
National Provider Identifier
1013901990
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2664 Issued in FL
Practice address
150 Professional Dr
Ste 300
Ponte Vedra Beach, FL 32082-6216
Phone
(904) 285-8448
Fax
(904) 285-3410
NPI assigned
Sep 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2664 FL Primary

Addresses

Primary practice location

150 Professional Dr
Ste 300
Ponte Vedra Beach, FL 32082-6216

Mailing address

150 Professional Dr
Ste 300
Ponte Vedra Beach, FL 32082-6216
Phone (904) 285-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100728000886 FL Practitioner - Optometry 7517928922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karen S Wolf OD and Gil Houston OD PAGroup PAC ID 1254392665, 3 clinicians

Practice addresses (Care Compare)

150 Professional Dr
Suite 300
Ponte Vedra Beach, FL 32082-7232
Phone (904) 285-8448

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2664FLMDOptometrist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013901990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL DR",
            "address_2": "STE 300",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826216",
            "telephone_number": "904-285-8448",
            "fax_number": "904-285-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL DR",
            "address_2": "STE 300",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826216",
            "telephone_number": "904-285-8448",
            "fax_number": "904-285-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.