Individual provider Active NPI

Dana Le Rader, O.D.

  • Optometrist
  • Pearland, TX
National Provider Identifier
1174961924
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8061TG Issued in TX
Practice address
2006 N Main St
Pearland, TX 77581-3308
Phone
(281) 485-5591
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 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 8061TG TX Primary

Addresses

Primary practice location

2006 N Main St
Pearland, TX 77581-3308

Mailing address

2006 N Main St
Pearland, TX 77581-3308
Phone (281) 485-5591

Other practice location 1

6956 Garth Rd
Baytown, TX 77521-9646
Phone (713) 244-8874

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
I20211214000361 TX Practitioner - Optometry 9234539040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1102 S Friendswood Dr
Suite a
Friendswood, TX 77546-4899
Phone (281) 482-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8061TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 2, 2022 Accepting new patients
Pearland Professional Vision PLLC Optometrist Past Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Pope Enterprises PLLC Optometrist PastSince Dec 2, 2022 Accepting new patients

Locations

6956 Garth Rd
Baytown, TX 77521
Phone (281) 421-1243

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

9500 Spencer Hwy
La Porte, TX 77571
Phone (281) 476-5107

9215 Broadway St
Ste 119
Pearland, TX 77584
Phone (281) 435-7968

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1174961924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 N MAIN ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813308",
            "telephone_number": "281-485-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N MAIN ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813308",
            "telephone_number": "281-485-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6956 Garth Rd",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775219646",
            "country_code": "US",
            "telephone_number": "713-244-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADER",
        "first_name": "DANA",
        "middle_name": "LE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8061TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.