Active NPI
Meridith Musgrove, OD
- Optometrist
- Corsicana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 05623TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345240105 | Medicaid | TX |
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
Enrollment records 1
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
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 100
- Quality
- 94.32
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05623TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecscii, PA | Current | Accepting new patients | |
| Daniel M Gold MD PA | Current | Accepting new patients | |
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Advanced Eye Care of Texas PLLC | Optometrist | Current | Accepting new patients |
| Ecsc II PA | Current | Accepting new patients | |
| Janet B Ogletree OD PA | Optometrist | Past | 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
- 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.
-
- Specialist
- Palestine, TX
- NPI 1205922572
-
- Optometrist
- Fort Worth, TX
- NPI 1528338472
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
-
- Specialist
- Dallas, TX
- NPI 1184733362
-
- Ophthalmic Technician/Technologist
- Greenville, TX
- NPI 1548556335
-
- Optometrist
- Flower Mound, TX
- NPI 1740313089
-
- Optometrist
- Sugar Land, TX
- NPI 1558356451
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.