Active NPI
Alexandra Nicole Houston, O.D.
- Optometrist
- Locust Grove, GA
National Provider Identifier
1093827289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002232
- Practice address
- 4946 Bill Gardner Pkwy
Locust Grove, GA 30248-3647 - Phone
- (770) 957-9814
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002232 | GA | Primary |
Addresses
Primary practice location
4946 Bill Gardner Pkwy
Locust Grove, GA 30248-3647
Mailing address
1011 Buckhorn BND
Locust Grove, GA 30248-3449
Phone (770) 914-6612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295516360B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Past | Accepting new patients | |
| Clarkson Optometry Georgia Inc | Optometrist | Past | Accepting new patients |
| Eye Associates of Smyrna | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ecp_cecga
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Smyrna, GA
- NPI 1548433857
-
- Eyewear Supplier
- Philadelphia, PA
- NPI 1134150790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1093827289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 BUCKHORN BND",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483449",
"telephone_number": "770-914-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4946 BILL GARDNER PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483647",
"telephone_number": "770-957-9814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "ALEXANDRA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295516360B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Locust Grove, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.