Individual provider Active NPI

Kristyn Reed, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1053726067
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8354TG Issued in TX
Practice address
590 Chimney Rock Rd
Houston, TX 77056-1220
Phone
(713) 782-4406
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8354TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 8354TG TX
Sports Vision Optometrist 152WS0006X 8354TG TX

Addresses

Primary practice location

590 Chimney Rock Rd
Houston, TX 77056-1220

Mailing address

7155 Old Katy Rd
N100
Houston, TX 77024-2134
Phone (713) 668-6828

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
I20140711000658 TX Practitioner - Optometry 0749405538 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8354TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Eye Care, PA Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

10330 Highway 6
Ste E
Missouri City, TX 77459
Phone (281) 431-1000

21195 Kuykendahl Rd
Spring, TX 77379
Phone (281) 370-4444

15337 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 242-2020

Organizations & group practices 3

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1053726067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 OLD KATY RD",
            "address_2": "N100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242134",
            "telephone_number": "713-668-6828",
            "fax_number": "832-280-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561220",
            "telephone_number": "713-782-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KRISTYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8354TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "8354TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "8354TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.