Individual provider Active NPI

Jessica A Baxter, O.D.

  • Optometrist
  • Humble, TX
National Provider Identifier
1184946287
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7442TG Issued in TX
Practice address
20131 Highway 59 N Ste 1250
Humble, TX 77338-2332
Phone
(346) 369-7088
Fax
(346) 384-8078
NPI assigned
Feb 17, 2010
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7442TG TX Primary

Addresses

Primary practice location

20131 Highway 59 N Ste 1250
Humble, TX 77338-2332

Mailing address

12402 San Lucia River Dr
Houston, TX 77050-3832
Phone (346) 369-7088

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
I20130916000029 TX Practitioner - Optometry 9032353917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20131 Hwy 59 N
Suite 1250
Humble, TX 77338-2332
Phone (346) 369-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7442TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Baxter PLLC Optometrist CurrentSince Jun 17, 2025 Accepting new patients
Premier Vision Care Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Decker Vision Group Optometrist PastSince Nov 1, 2015 Accepting new patients

Locations

5866 E Sam Houston Pkwy N
Ste B
Houston, TX 77049
Phone (281) 436-1757

20131 Highway 59 N
Ste 1250
Humble, TX 77338
Phone (281) 548-1185

Organizations & group practices 3

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1184946287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 SAN LUCIA RIVER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770503832",
            "telephone_number": "346-369-7088",
            "fax_number": "346-384-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20131 HIGHWAY 59 N STE 1250",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382332",
            "telephone_number": "346-369-7088",
            "fax_number": "346-384-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7442TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.