Individual provider Active NPI

Bailey Kathleen Terhune, OD

  • Optometrist
  • Conroe, TX
National Provider Identifier
1023596160
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9527T Issued in TX
Practice address
1422 N Loop 336 W Ste B
Conroe, TX 77304-3540
Phone
(936) 539-2020
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9527T TX Primary

Addresses

Primary practice location

1422 N Loop 336 W Ste B
Conroe, TX 77304-3540

Mailing address

6000 W Rayford Rd Apt 4118
Spring, TX 77389-2213

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
I20181206003134 TX Practitioner - Optometry 5092059790 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Optic PLLCGroup PAC ID 2163524133, 13 clinicians

Practice addresses (Care Compare)

333 N Rivershire Dr
Suite 160
Conroe, TX 77304-2711
Phone (936) 441-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9527TXMDChiropractor
9527TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Eye Clinic PA Optometrist CurrentSince Nov 11, 2021 Accepting new patients
Conroe Vision Associates PA Optometrist CurrentSince Aug 21, 2018 Accepting new patients
Conroe Vision Associates Optometrist CurrentSince Aug 21, 2018 Accepting new patients
Aldine Eye Clinic PA Optometrist PastSince Nov 11, 2021 Accepting new patients

Locations

1422 N Loop 336 W
Ste B
Conroe, TX 77304
Phone (936) 539-2020

18000 FM 1488 Rd
Ste 100
Magnolia, TX 77354
Phone (281) 252-6060

Organizations & group practices 5

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1023596160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W RAYFORD RD APT 4118",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 N LOOP 336 W STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043540",
            "telephone_number": "936-539-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERHUNE",
        "first_name": "BAILEY",
        "middle_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9527T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.