Active NPI
Amy Annette Jasinski, O.D.
- Optometrist
- Highland Village, TX
National Provider Identifier
1104113265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7871TG
- Practice address
- 2430 Justin Road
Suite a
Highland Village, TX 75077 - Phone
- (972) 317-3937
- Fax
- (972) 317-2320
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7871T | TX | |
| Optometrist | 152W00000X | 7871TG | TX | Primary |
Addresses
Primary practice location
2430 Justin Road
Suite a
Highland Village, TX 75077
Mailing address
2430 Justin Road
Suite a
Highland Village, TX 75077
Other names 1
- Dr. Amy Annette Clem
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2430 Justin Rd
Suite a
Highland Village, TX 75077-3090
Phone (972) 317-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7871T | TX | MD | Optometrist |
| 7871TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ousley Vision PLLC | Optometrist | Current | Accepting new patients |
Locations
2430 Justin Rd
Ste A
Lewisville, TX 75077
Phone (972) 317-3937
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 and National Provider Directory roles.
-
- Optometrist
- Highland Village, TX
- NPI 1134874050
-
- Optometrist
- Highland Village, TX
- NPI 1801977095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1104113265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 JUSTIN ROAD",
"address_2": "SUITE A",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "75077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 JUSTIN ROAD",
"address_2": "SUITE A",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "75077",
"telephone_number": "972-317-3937",
"fax_number": "972-317-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASINSKI",
"first_name": "AMY",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7871T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7871TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "CLEM",
"middle_name": "ANNETTE",
"prefix": "DR.",
"credential": "O.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Highland Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.