Individual provider Active NPI

Meridith Musgrove, OD

  • Optometrist
  • Corsicana, TX
National Provider Identifier
1194745372
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05623TG Issued in TX
Practice address
800 N Beaton St
Corsicana, TX 75110-3149
Phone
(903) 874-0005
Fax
(903) 874-0009
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05623TG TX Primary

Addresses

Primary practice location

800 N Beaton St
Corsicana, TX 75110-3149

Mailing address

501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 731-4653

Other practice location 1

208 W Knox St
Ennis, TX 75119-4026
Phone (469) 456-0059

Other practice location 2

928 S Bolton St
Jacksonville, TX 75766-2906
Phone (903) 586-7900

Other practice location 3

764 W Commerce St
Fairfield, TX 75840-1428
Phone (903) 389-9646

Other practice location 4

501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 731-4653

Other identifiers 1

IdentifierTypeStateIssuer
345240105MedicaidTX

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
I20060216000190 TX Practitioner - Optometry 2163437815 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel M Gold MD PAGroup PAC ID 6608856158, 11 clinicians

Practice addresses (Care Compare)

800 N Beaton St
Corsicana, TX 75110-3149
Phone (903) 874-0005

Merit-based Incentive Payment System (MIPS)

Final score
90.89 of 100Reported as group
Quality
94.32
Improvement activities
40
Cost
77.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05623TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ecscii, PA CurrentSince Apr 1, 2014 Accepting new patients
Daniel M Gold MD PA CurrentSince Jun 1, 2023 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Aug 14, 2023 Accepting new patients
Advanced Eye Care of Texas PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Ecsc II PA Current Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Today'S Vision Sugar Land PA Optometrist Past Accepting new patients

Locations

800 N Beaton St
Corsicana, TX 75110
Phone (903) 874-0005

5421 La Sierra Dr
Dallas, TX 75231
Phone (214) 696-0526

208 W Knox St
Ennis, TX 75119
Phone (469) 456-0059

764 W Commerce St
Fairfield, TX 75840
Phone (903) 389-2181

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

9500 Clifford St
Fort Worth, TX 76108
Phone (817) 367-0818

4501 Joe Ramsey Blvd E
Ste 220
Greenville, TX 75401
Phone (214) 972-2020

928 S Bolton St
Jacksonville, TX 75766
Phone (903) 586-0521

930 N Walnut Creek Dr
Ste 100
Mansfield, TX 76063
Phone (817) 473-1956

501 E Kolstad St
Palestine, TX 75801
Phone (903) 723-3250

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

15337 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 242-2020

Interoperability endpoints

  • FHIR API: https://2020sugarland.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 7

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1194745372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E KOLSTAD ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758012352",
            "telephone_number": "903-731-4653",
            "fax_number": "903-723-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N BEATON ST",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103149",
            "telephone_number": "903-874-0005",
            "fax_number": "903-874-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 W Knox St",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751194026",
            "country_code": "US",
            "telephone_number": "469-456-0059",
            "fax_number": "469-456-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "928 S Bolton St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757662906",
            "country_code": "US",
            "telephone_number": "903-586-7900",
            "fax_number": "903-586-4373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "764 W Commerce St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "TX",
            "postal_code": "758401428",
            "country_code": "US",
            "telephone_number": "903-389-9646",
            "fax_number": "903-389-3690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Kolstad St",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758012352",
            "country_code": "US",
            "telephone_number": "903-731-4653",
            "fax_number": "903-723-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "MERIDITH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05623TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345240105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.