Individual provider Active NPI

Sherine John, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1063939940
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9237TG Issued in TX
Practice address
5315 N Central Expy
Dallas, TX 75205-3319
Phone
(214) 696-2020
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9237TG TX Primary

Addresses

Primary practice location

5315 N Central Expy
Dallas, TX 75205-3319

Mailing address

1955 Market Center Blvd Apt 1322
Dallas, TX 75207-3460

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
I20180822000959 TX Practitioner - Optometry 6901155134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvey L Carter III MD PAGroup PAC ID 2466427372, 2 clinicians

Practice addresses (Care Compare)

5315 N Central Expressway
Dallas, TX 75205-3319
Phone (214) 750-1962

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as group
Quality
82.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey L Carter III MD PA CurrentSince May 12, 2018 Accepting new patients

Locations

5315 N Central Expy
Dallas, TX 75205
Phone (214) 750-1962

4633 N Central Expy
Ste 300
Dallas, TX 75205
Phone (972) 993-2900

Interoperability endpoints

  • Direct secure messaging: drsjohn@cartereyecenter.imwdirect.com

Organizations & group practices 1

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1063939940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MARKET CENTER BLVD APT 1322",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752073460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053319",
            "telephone_number": "214-696-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SHERINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9237TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.