Individual provider Active NPI

Tammie Faulk Hicks, O.D.

  • Optometrist
  • Tomball, TX
National Provider Identifier
1164442729
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5128TG Issued in TX
Practice address
14079 FM 2920
Tomball, TX 77377-5502
Phone
(346) 701-4035
Fax
(281) 701-4035
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5128TG TX Primary
Specialist 174400000X 5128TG TX

Addresses

Primary practice location

14079 FM 2920
Tomball, TX 77377-5502

Mailing address

PO Box 4346
Dept 521
Houston, TX 77210
Phone (713) 580-2500

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
I20100211000450 TX Practitioner - Optometry 2062555113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

5115 Main St
Houston, TX 77002-9754
Phone (713) 580-2550

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5128TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center, PA Optometrist CurrentSince Nov 1, 2015 Accepting new patients
Mann Eye Center Optometrist CurrentSince Nov 1, 2015 Accepting new patients
Vision Centers of Houston Willowbrook PLLC Optometrist Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

5115 Main St
Houston, TX 77002
Phone (713) 275-2457

14079 FM 2920 Rd
Tomball, TX 77377
Phone (346) 701-4035

Interoperability endpoints

  • Direct secure messaging: thicks@manneye.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1164442729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 521",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77210",
            "telephone_number": "713-580-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14079 FM 2920",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775502",
            "telephone_number": "346-701-4035",
            "fax_number": "281-701-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TAMMIE",
        "middle_name": "FAULK",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5128TG",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "5128TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.