Individual provider Active NPI

Basel Kesbeh, O.D

  • Optometrist
  • Killeen, TX
National Provider Identifier
1194547620
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11310 Issued in TX
Practice address
3124 E Central Texas Expy
Killeen, TX 76543-7333
Phone
(254) 690-4733
NPI assigned
Oct 28, 2024
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 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 11310 TX Primary

Addresses

Primary practice location

3124 E Central Texas Expy
Killeen, TX 76543-7333

Mailing address

632 Rockingham Dr
Irving, TX 75063-8052

Other practice location 1

221 N Preston Rd
Prosper, TX 75078-8645
Phone (972) 347-2020

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
I20250110002314 TX Practitioner - Optometry 8628506177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

221 N Preston Rd
Suite B
Prosper, TX 75078-8607
Phone (972) 347-2020

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

6446 Lyndon B Johnson Fwy
Dallas, TX 75240-6407
Phone (972) 960-2020

7457 Las Colinas Blvd
Suite 100
Irving, TX 75063-7561
Phone (214) 382-3061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11310TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

7457 Las Colinas Blvd
#100
Irving, TX 75063
Phone (214) 382-3061

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

221 N Preston Rd
Ste B
Prosper, TX 75078
Phone (972) 347-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Interoperability endpoints

  • Direct secure messaging: basel.kesbah.1@18822.direct.athenahealth.com

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, 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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1194547620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 ROCKINGHAM DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E CENTRAL TEXAS EXPY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437333",
            "telephone_number": "254-690-4733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 N Preston Rd",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750788645",
            "country_code": "US",
            "telephone_number": "972-347-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESBEH",
        "first_name": "BASEL",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-01-03",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.