Individual provider Active NPI

Autumnn Eunique Wooten, OD

  • Optometrist
  • Katy, TX
National Provider Identifier
1053988550
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10343TG Issued in TX
Practice address
22225 FM 529 Rd Ste 104B
Katy, TX 77493-5362
Phone
(281) 819-8665
Fax
(281) 819-8707
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10343T TX
Optometrist 152W00000X 10343TG TX Primary

Addresses

Primary practice location

22225 FM 529 Rd Ste 104B
Katy, TX 77493-5362

Mailing address

22225 FM 529 Rd Ste 104B
Katy, TX 77493-5362
Phone (281) 819-8665

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
I20220302001826 TX Practitioner - Optometry 0547654816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

5200 S FM
1626 Suite 100B
Kyle, TX 78640
Phone (737) 302-2751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10343TTXMDOptometrist
10343TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Apr 20, 2022 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Elite Vision Group, PLLC Optometrist CurrentSince Sep 16, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 20, 2022 Accepting new patients

Locations

9600 S Interstate 35
Ste S225
Austin, TX 78748
Phone (512) 291-0876

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

1616 Clear Lake City Blvd
Ste 103
Houston, TX 77062
Phone (281) 286-4343

1051 Halsey St
Ste A
Houston, TX 77015
Phone (269) 808-7552

11159 Westheimer Rd
Houston, TX 77042
Phone (713) 978-7504

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

5200 S FM 1626
Ste 100B
Kyle, TX 78640
Phone (737) 302-2751

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: awooten025016@myeyedr.emadirect.md

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1053988550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22225 FM 529 RD STE 104B",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935362",
            "telephone_number": "281-819-8665",
            "fax_number": "281-819-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22225 FM 529 RD STE 104B",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935362",
            "telephone_number": "281-819-8665",
            "fax_number": "281-819-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "AUTUMNN",
        "middle_name": "EUNIQUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10343T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10343TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.