Michael Keith Head, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8069TG Issued in TX

Practice address

1872 Norwood Dr
Ste 200
Hurst, TX 76054-3066

Phone

(817) 540-6060

Fax

(817) 553-7994

NPI assigned

Sep 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Eye and Laser Center, P.a.Group PAC ID 7315843257, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

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.

• Texas Eye and Laser Center, PA

  • Ophthalmology Physician
  • Hurst, TX
  • NPI 1437236262
  Medicare reassignment Care Compare group NPD
• Texas Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hurst, TX
  • NPI 1750468583
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1174873574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "STE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-540-6060",
            "fax_number": "817-553-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "STE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-540-6060",
            "fax_number": "817-553-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8069TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khead@texaseye.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1872 Norwood Dr",
            "address_2": "Ste 200",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760543066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Huda Hassan, RN
• Ernest Carter Hatton, D.D.S.,M.S.D.
• Amy Gay Haufler, NP
• Haven of Healing Counseling & Wellness Inc
• Howard He, DDS
• Healing Ark Home Health Pediatric Services Inc.
• Hearing and Speech Centers
• Hearing Essentials of Texas, Inc.
• Heb Home Care, Inc.
• Melissa Charo Hein, B.A., M.S.

• Optometrist in Hurst, TX
• Providers in Hurst, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.