Paul Anthony Proske, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

05881TG Issued in TX

Practice address

20920 Kuykendahl Rd
Ste C
Spring, TX 77379-3378

Phone

(281) 353-3937

Fax

(281) 528-9451

NPI assigned

Mar 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of Houston - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Pro, P.a.

  • Corneal and Contact Management Optometrist
  • Spring, TX
  • NPI 1871704775
  Medicare reassignment NPD Authorized official
• Northline Tso PC

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

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

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

  • Optometrist
  • Houston, TX
  • NPI 1972572378
  NPD (past)
• Precious Vision, LLC

  • Preferred Provider Organization
  • Spring, TX
  • NPI 1265735898
  NPD (past)
• Tomball Texas State Optical PA

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

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

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1255308532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17428 KITZMAN RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291294",
            "telephone_number": "281-351-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20920 KUYKENDAHL RD",
            "address_2": "STE C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793378",
            "telephone_number": "281-353-3937",
            "fax_number": "281-528-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSKE",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-04",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05881TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548166",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Spring, TX
• Providers in Spring, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.