Mini John, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

06184TG Issued in TX

Practice address

2755 Texas Pkwy Ste 104
Missouri City, TX 77489-5114

Phone

(281) 416-7077

NPI assigned

Feb 22, 2006

Last updated

Jan 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mini John OD PLLC

  • Optometrist
  • Missouri City, TX
  • NPI 1043522816
  Medicare reassignment Authorized official
• Evolutionary Eye Care

  • Low Vision Rehabilitation Optometrist
  • Sugar Land, TX
  • NPI 1467838656
  NPD (past)
• Northline Tso PC

  dba Northline Texas State Optical

  • Optometrist
  • Houston, TX
  • NPI 1134198518
  NPD (past)
• Northshore Tso, Inc.

  • Optometrist
  • Houston, TX
  • NPI 1639148034
  NPD (past)
• Pasadena Optical Inc

  dba Southmore Texas State Optical

  • Optometrist
  • Pasadena, TX
  • NPI 1164491544
  NPD (past)
• PNZ Place Tso PC

  dba Pennzoil Texas State Optical

  • Optometrist
  • Houston, TX
  • NPI 1972572378
  NPD (past)
• Tomball Texas State Optical PA

  • Optometrist
  • Tomball, TX
  • NPI 1770552176
  NPD (past)
• Willowbrook Tso PC

  dba Willowbrook Texas State Optical

  • Optometrist
  • Houston, TX
  • NPI 1073582466
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1215902200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 LONGHORN CIRCLE",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "77578",
            "telephone_number": "281-300-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 TEXAS PKWY STE 104",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895114",
            "telephone_number": "281-416-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "MINI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06184TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160423302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11616008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JNT Smiles PLLC (Preferred Dental Care)
• Jobel Primecare Clinic
• Jeanie Joe-Black, COTA
• Ajini Sara John
• Jereesh T John, M.D
• Johnson & Johnson Activities, Inc.
• Amy J. Johnson, MA, CCC-SLP
• Candance Johnson, FNP
• Cheryl Ann Johnson
• Cyrus Johnson, ED.D

• Optometrist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.

Verify at the official NPI Registry.