Individual provider Active NPI

Mintra Sattam, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1144669110
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8230 Issued in TX
Practice address
6927 FM 1960 Rd W
Ste D
Houston, TX 77069-3701
Phone
(281) 377-5256
Fax
(281) 397-0849
NPI assigned
Jun 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8230 TX Primary

Addresses

Primary practice location

6927 FM 1960 Rd W
Ste D
Houston, TX 77069-3701

Mailing address

6927 FM 1960 Rd W
Ste D
Houston, TX 77069-3701

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
I20150203000803 TX Practitioner - Optometry 0749505303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8230TXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1144669110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 FM 1960 RD W",
            "address_2": "STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 FM 1960 RD W",
            "address_2": "STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693701",
            "telephone_number": "281-377-5256",
            "fax_number": "281-397-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTAM",
        "first_name": "MINTRA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.