Individual provider Active NPI

Christine Elizabeth Acosta, O.D.

  • Optometrist
  • Kingwood, TX
National Provider Identifier
1194897231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6919T Issued in TX
Practice address
1714 Kingwood Dr
Kingwood, TX 77339-3046
Phone
(281) 359-2020
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6919T TX Primary

Addresses

Primary practice location

1714 Kingwood Dr
Kingwood, TX 77339-3046

Mailing address

2750 Holly Hall St
#1405
Houston, TX 77054-4109
Phone (713) 747-5758

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
I20080208000155 TX Practitioner - Optometry 9335222751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Source - Kingwood, PAGroup PAC ID 9638152267, 6 clinicians

Practice addresses (Care Compare)

1714 Kingwood Dr
Kingwood, TX 77339-3046
Phone (281) 359-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6919TXMDBehavioral Analyst
6919TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source - Kingwood, PA Optometrist CurrentSince Jul 1, 2006 Accepting new patients

Locations

23822 Highway 59 N
Kingwood, TX 77339

23822 Highway 59 N
Ste 100
Kingwood, TX 77339
Phone (281) 359-2020

1714 Kingwood Dr
Kingwood, TX 77339
Phone (281) 359-2020

Organizations & group practices 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194897231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 HOLLY HALL ST",
            "address_2": "#1405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544109",
            "telephone_number": "713-747-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 KINGWOOD DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393046",
            "telephone_number": "281-359-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6919T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.