Individual provider Active NPI

Sharon Mathukutty, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1205119419
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7726T Issued in TX
Practice address
7075 Cypress Creek Pkwy Ste a
Houston, TX 77069-3601
Phone
(281) 893-7394
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7726T TX Primary

Addresses

Primary practice location

7075 Cypress Creek Pkwy Ste a
Houston, TX 77069-3601

Mailing address

7075 Cypress Creek Pkwy Ste a
Houston, TX 77069-3601

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
I20120723000639 TX Practitioner - Optometry 6002072857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Quality Eye Care PLLCGroup PAC ID 5193981942, 3 clinicians

Practice addresses (Care Compare)

7540 Cypress Creek Pkwy
Houston, TX 77070-5806
Phone (832) 554-6771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7726TTXMDOptometrist

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421452800000",
    "number": "1205119419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 CYPRESS CREEK PKWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 CYPRESS CREEK PKWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693601",
            "telephone_number": "281-893-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUKUTTY",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2015-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7726T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.