Individual provider Active NPI

Jon Rowdy House, O.D

  • Optometrist
  • Texas City, TX
National Provider Identifier
1053549899
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7401TG Issued in TX
Practice address
2702 Palmer Hwy
Texas City, TX 77590-6930
Phone
(409) 948-1311
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7401TG TX Primary

Addresses

Primary practice location

2702 Palmer Hwy
Texas City, TX 77590-6930

Mailing address

2702 Palmer Hwy
Texas City, TX 77590-6930
Phone (409) 948-1311

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
I20091002000348 TX Practitioner - Optometry 7416093505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7401TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Belinda Shae Dobson Optometrist CurrentSince Mar 16, 2025 Accepting new patients
Nelson Juarez, O.D., P.a. Optometrist PastSince Jun 27, 2016 Accepting new patients
Noah Zavala, O.D., PLLC Optometrist PastSince Jan 19, 2025 Accepting new patients

Locations

903 William D Fitch Pkwy
College Station, TX 77845
Phone (979) 779-9000

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1053549899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906930",
            "telephone_number": "409-948-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906930",
            "telephone_number": "409-948-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "JON",
        "middle_name": "ROWDY",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7401TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.