Individual provider Active NPI

Tekarra Humphreys, OD

  • Optometrist
  • Murphy, TX
National Provider Identifier
1073282430
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10381T Issued in TX
Practice address
213 N Murphy Rd Ste 100
Murphy, TX 75094-3551
Phone
(214) 901-5363
NPI assigned
Sep 9, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10381T TX Primary

Addresses

Primary practice location

213 N Murphy Rd Ste 100
Murphy, TX 75094-3551

Mailing address

213 N Murphy Rd Ste 100
Murphy, TX 75094-3551
Phone (214) 901-5363

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
I20211123000991 TX Practitioner - Optometry 1557750023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth Digby Anderson, O.D., PLLCGroup PAC ID 1759422629, 6 clinicians
Eye Center of Murphy PLLCGroup PAC ID 1355684754, 6 clinicians

Practice addresses (Care Compare)

130 N Ballard Ave
Wylie, TX 75098-4467
Phone (972) 429-9090

213 N Murphy Rd
Suite 100
Murphy, TX 75094-3551
Phone (972) 429-9011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10381TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Digby Anderson, O.D., PLLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients

Locations

1980 E State Highway 114
Southlake, TX 76092
Phone (817) 329-2700

130 N Ballard Ave
Wylie, TX 75098
Phone (972) 429-9090

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1073282430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N MURPHY RD STE 100",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943551",
            "telephone_number": "214-901-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MURPHY RD STE 100",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943551",
            "telephone_number": "214-901-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "TEKARRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10381T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

Verify at the official NPI Registry.