Individual provider Active NPI

Pontea Azandaryani Momeni, O.D

  • Optometrist
  • Houston, TX
National Provider Identifier
1023458015
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8228TG Issued in TX
Practice address
3100 Weslayan St
Suite 400
Houston, TX 77027-5727
Phone
(713) 526-1600
Fax
(713) 620-7697
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8228T TX
Optometrist 152W00000X 8228TG TX Primary

Addresses

Primary practice location

3100 Weslayan St
Suite 400
Houston, TX 77027-5727

Mailing address

3100 Weslayan St
Suite 400
Houston, TX 77027-5727
Phone (713) 526-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pontea.momeni@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

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
I20130911000092 TX Practitioner - Optometry 6800030990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8228TTXMDOptometrist
8228TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Optometrist Current Accepting new patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Jun 28, 2013 Accepting new patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Jun 28, 2013 Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

Locations

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

8731 Katy Fwy
Ste 300
Houston, TX 77024
Phone (713) 424-4824

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

21502 Merchants Way
Ste A
Katy, TX 77449
Phone (281) 579-6777

1535 Cullen Blvd
Ste 200
Pearland, TX 77581
Phone (713) 436-1551

Organizations & group practices 4

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": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023458015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275727",
            "telephone_number": "713-526-1600",
            "fax_number": "713-620-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275727",
            "telephone_number": "713-526-1600",
            "fax_number": "713-620-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMENI",
        "first_name": "PONTEA",
        "middle_name": "AZANDARYANI",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8228T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8228TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pontea.momeni@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "3100 Weslayan St",
            "address_2": "Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770275752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.