Individual provider Active NPI

Megan K Stubinski

  • Optometrist
  • Houston, TX
National Provider Identifier
1063675239
Registry record updated Jan 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7228TG Issued in TX
Practice address
13615 Bellaire Blvd
Houston, TX 77083-1714
Phone
(281) 933-3446
Fax
(281) 933-6865
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 7228TG TX Primary

Addresses

Primary practice location

13615 Bellaire Blvd
Houston, TX 77083-1714

Mailing address

13615 Bellaire Blvd
Houston, TX 77083-1714
Phone (281) 933-3446

Other identifiers 1

IdentifierTypeStateIssuer
7228TGOtherTXLICENSE NUMBER

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
I20090113000121 TX Practitioner - Optometry 0143383497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13615 Bellaire Blvd
Houston, TX 77083-1714
Phone (281) 933-3446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Wick OD PHD PA Optometrist CurrentSince Aug 13, 2008 Accepting new patients
Vision Source - Copperfield PA Optometrist CurrentSince Apr 6, 2010 Accepting new patients
Vision Source Cypress PA Optometrist CurrentSince Jun 1, 2018 Accepting new patients

Locations

15103 Mason Rd
Ste B9
Cypress, TX 77433
Phone (281) 933-3446

13615 Bellaire Blvd
Houston, TX 77083
Phone (281) 933-3446

8717 Highway 6 N
Houston, TX 77095
Phone (281) 859-8000

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232755200000",
    "number": "1063675239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831714",
            "telephone_number": "281-933-3446",
            "fax_number": "281-933-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831714",
            "telephone_number": "281-933-3446",
            "fax_number": "281-933-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBINSKI",
        "first_name": "MEGAN",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2009-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7228TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "7228TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.