Individual provider Active NPI

Mallory B. Thornton, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1013905207
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5587TG Issued in TX
Practice address
10260 Westheimer Rd
Suite 580
Houston, TX 77042-3110
Phone
(713) 781-3517
Fax
(713) 783-9025
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5587TG TX Primary

Addresses

Primary practice location

10260 Westheimer Rd
Suite 580
Houston, TX 77042-3110

Mailing address

10260 Westheimer Rd Ste 580
Houston, TX 77042-3107
Phone (713) 781-3517

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
I20101019000707 TX Practitioner - Optometry 7012054968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westheimer Vision Services, PLLCGroup PAC ID 4385962612, 3 clinicians

Practice addresses (Care Compare)

10260 Westheimer Rd
Suite 580
Houston, TX 77042-3107
Phone (713) 781-3517

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5887TXMDBehavioral Analyst
5587TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westheimer Vision Services, PLLC Optometrist CurrentSince Apr 1, 2015 Accepting new patients
Larry Wilkinson Optometrist Past Accepting new patients

Locations

10260 Westheimer Rd
Ste 580
Houston, TX 77042
Phone (713) 781-3517

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1013905207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 WESTHEIMER RD STE 580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423107",
            "telephone_number": "713-781-3517",
            "fax_number": "713-783-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 WESTHEIMER RD",
            "address_2": "SUITE 580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423110",
            "telephone_number": "713-781-3517",
            "fax_number": "713-783-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "MALLORY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5587TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.