Individual provider Active NPI

Karen Ebling Oglesby, O.D.

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1144223637
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5801TG Issued in TX
Practice address
5001 Bissonnet St Ste 107
Bellaire, TX 77401-4015
Phone
(713) 664-8087
NPI assigned
May 27, 2005
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5801TG TX Primary

Addresses

Primary practice location

5001 Bissonnet St Ste 107
Bellaire, TX 77401-4015

Mailing address

5001 Bissonnet St Ste 107
Bellaire, TX 77401-4015
Phone (713) 664-8087

Other identifiers 3

IdentifierTypeStateIssuer
1667776-01MedicaidTX
8C0860OtherTXLEGACY MEDICARE PTAN 2001-2012
U84439OtherTXLEGACY MEDICARE UPIN 2001 - 2012

Other names 1

  • Dr. Karen M Ebling Professional name

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
I20040805001207 TX Practitioner - Optometry 8022089903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosensory Center of Bellaire PAGroup PAC ID 4385785088, 6 clinicians

Practice addresses (Care Compare)

5001 Bissonnet St
Suite 107
Bellaire, TX 77401-4015
Phone (713) 664-8087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosensory Center of Bellaire PA Optometrist CurrentSince Dec 13, 2021 Accepting new patients
Ebling & Ebling, PC Past Accepting new patients
SCRC Group LTD LLP Optometrist Past Accepting new patients
Bellaire Family Eye Care PA Optometrist PastSince Feb 1, 2022 Accepting new patients

Locations

5001 Bissonnet St
Ste 107
Bellaire, TX 77401
Phone (713) 664-8087

Organizations & group practices 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1144223637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST STE 107",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014015",
            "telephone_number": "713-664-8087",
            "fax_number": "713-664-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST STE 107",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014015",
            "telephone_number": "713-664-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "KAREN",
        "middle_name": "EBLING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5801TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1667776-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY MEDICARE PTAN 2001-2012",
            "identifier": "8C0860",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY MEDICARE UPIN 2001 - 2012",
            "identifier": "U84439",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "EBLING",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.