Individual provider Active NPI

Joshua Robert Pass, O.D.

  • Optometrist
  • Fort Stockton, TX
National Provider Identifier
1063725778
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7578T Issued in TX
Practice address
605 N Main St
Fort Stockton, TX 79735-5625
Phone
(432) 336-3662
Fax
(432) 336-7806
NPI assigned
Jul 22, 2010
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7578T TX Primary

Addresses

Primary practice location

605 N Main St
Fort Stockton, TX 79735-5625

Mailing address

PO Box 1568
Fort Stockton, TX 79735-1568
Phone (432) 336-3662

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
I20110131000754 TX Practitioner - Optometry 9234318643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas EyecareGroup PAC ID 7214194554, 3 clinicians

Practice addresses (Care Compare)

605 N Main St
Fort Stockton, TX 79735-5625
Phone (432) 336-3662

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7578TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Eyecare Optometrist CurrentSince Nov 28, 2011 Accepting new patients

Locations

605 N Main St
Fort Stockton, TX 79735
Phone (432) 336-3662

611 S Oak St
Pecos, TX 79772
Phone (432) 280-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1063725778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797351568",
            "telephone_number": "432-336-3662",
            "fax_number": "432-336-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355625",
            "telephone_number": "432-336-3662",
            "fax_number": "432-336-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "JOSHUA",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7578T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

Verify at the official NPI Registry.