Samuel Mascardo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11193TG Issued in TX

Practice address

2019 W Gray St
Houston, TX 77019-3601

Phone

(713) 528-0765

NPI assigned

May 30, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ce Eye Care PLLC

  • Optometrist
  • Houston, TX
  • NPI 1962053256
  Medicare reassignment NPD

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1053151670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 WILDWOOD VALLEY CT",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193601",
            "telephone_number": "713-528-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARDO",
        "first_name": "SAMUEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11193TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramya Prakash Masand, M.D.
• Jessica Masani
• Hannah Masanotti, MT-BC
• Gabrielle Elizabeth Masarik
• Lucia Masarova, M.D.
• Randhir Francis Mascarenhas, M.D.
• Marina Masciale
• Masep Inc
• Michael D Maseta, DDS
• Adepeju Masha

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.