Individual provider Active NPI

Justine Rosner, OD

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1215312988
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8687T Issued in TX
Practice address
6565 West Loop S Ste 650
Bellaire, TX 77401-3505
Phone
(713) 797-1010
Fax
(713) 357-7290
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8687T TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 650
Bellaire, TX 77401-3505

Mailing address

6565 West Loop S Ste 650
Bellaire, TX 77401-3505
Phone (713) 797-1010

Other names 1

  • Justine Butler Former name

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
I20160219001279 TX Practitioner - Optometry 3173828712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Texas LLPGroup PAC ID 8224054259, 19 clinicians

Practice addresses (Care Compare)

6565 W Loop S
Bellaire, TX 77401-3505
Phone (713) 797-1010

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
93.47
Promoting interoperability
89
Improvement activities
40
Cost
78.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8687TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Texas LLP CurrentSince Dec 30, 2015 Accepting new patients
Jed Lee Howard PA PastSince Dec 30, 2015 Accepting new patients

Locations

6565 West Loop S
Ste 650
Bellaire, TX 77401

100 Medical Center Blvd
#1
Conroe, TX 77304
Phone (936) 647-1520

100 Medical Center Blvd
Ste 118
Conroe, TX 77304
Phone (936) 539-4031

2051 Greenhouse Rd
Ste 110
Houston, TX 77084

4415 Crenshaw Rd
Pasadena, TX 77504
Phone (281) 998-0500

15200 Southwest Fwy
Ste 130
Sugar Land, TX 77478
Phone (281) 265-8500

455 E Medical Center Blvd
Ste 110
Webster, TX 77598
Phone (281) 332-1397

Interoperability endpoints

  • Direct secure messaging: jrosner@eyectrtx.direct.eyemdemr.com

Organizations & group practices 2

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": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1215312988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-797-1010",
            "fax_number": "713-357-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-797-1010",
            "fax_number": "713-357-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "JUSTINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8687T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "BUTLER",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.