Fortuna T Abebe, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10323T Issued in TX

Practice address

3100 Weslayan St Ste 400
Houston, TX 77027-5752

Phone

(713) 526-1600

Fax

(713) 526-0679

NPI assigned

Jul 15, 2021

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.82 of 100Reported as group

Quality

81.48

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fabebe@direct.berkeleyeye.com

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.

• Berkeley Eye Institute, PLLC

  dba Berkeley Eye Center

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1740286186

  Optometrist

  Medicare reassignment Care Compare group NPD
• Berkeley Eye Institute, PLLC

  dba Berkeley Eye Center

  • Ophthalmology Physician
  • Dayton, TX
  • NPI 1346082872

  Optometrist

  NPD
• Clear Lake Eye Center LLP

  dba Berkeley Eye Center Clear Lake

  • Optometrist
  • Houston, TX
  • NPI 1255338612
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1073185278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 SANFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965736",
            "telephone_number": "832-359-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275752",
            "telephone_number": "713-526-1600",
            "fax_number": "713-526-0679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Johnson Fy Rd NE Ste 108",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421733",
            "country_code": "US",
            "telephone_number": "404-531-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABEBE",
        "first_name": "FORTUNA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10323T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003339.",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nafisat Bolaji Abdulwahab, PMHNP
• Samira Abdur Rahim
• Lama Abdurrahman
• Selma Mahmoud Abdurrahman
• Eden Abebe
• Sandra Salim Abed
• Shawki Abed
• Tania Abedi
• Saeid Abedin, M.D.,
• Shadi Abedin, DDS, CAGS

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.