Anjonette L Colvin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6164TG Issued in TX

Practice address

9816 N Beach St
Ste 101
Fort Worth, TX 76244-6184

Phone

(817) 741-2020

Fax

(817) 741-3937

NPI assigned

Nov 1, 2005

Reactivated

Aug 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Ohio State University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haslet Family Eyecare, PLLCGroup PAC ID 6507379039, 3 clinicians

Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Haslet Family Eyecare, PLLC

  • Optometrist
  • Haslet, TX
  • NPI 1134921190
  Medicare reassignment Care Compare group NPD Authorized official
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment Care Compare group NPD
• Saginaw Family Eyecare, PLLC

  • Optometrist
  • Saginaw, TX
  • NPI 1699446377
  Medicare reassignment NPD Authorized official
• Saginaw Family Eyecare, PLLC

  • Optometrist
  • Saginaw, TX
  • NPI 1265106280
  NPD (past) Authorized official
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Burleson, TX
  • NPI 1356959480
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD
• Silver Spring Optometry, LLC

  dba My Eye Dr

  • Optometrist
  • Silver Spring, MD
  • NPI 1336204387
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1114918943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 N BEACH ST",
            "address_2": "STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446184",
            "telephone_number": "817-741-2020",
            "fax_number": "817-741-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "ANJONETTE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6164TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Plaza Medical Center of Fort Worth Subsidiary LP (Medical City Fort Worth)
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP (Medical City Fort Worth)
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP (Medical City Fort Worth)
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP (Medical City Fort Worth)
• Heather Colvard
• Kristopher Benjamin-Lee Colvin, LMSW
• Emily Comans, CRNA
• Matthew A Comay, MD
• Shanna Marie Combs, MD
• Bethany L Comeau

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.