Individual provider Active NPI

Kristin Blevins Urban, O.D.

  • Optometrist
  • Cuero, TX
National Provider Identifier
1265685879
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7266TG Issued in TX
Practice address
510 N Esplanade St
Cuero, TX 77954-3604
Phone
(361) 275-5743
Fax
(361) 275-6432
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7266TG TX Primary

Addresses

Primary practice location

510 N Esplanade St
Cuero, TX 77954-3604

Mailing address

510 N Esplanade St
Cuero, TX 77954-3604
Phone (361) 275-5743

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
I20090610000299 TX Practitioner - Optometry 4880744010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 N Esplanade St
Cuero, TX 77954-3604
Phone (361) 275-5743

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7266TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare of Cuero PLLC Optometrist CurrentSince Nov 19, 2011 Accepting new patients
John C Braden DDS PC Past Accepting new patients
Barry Wineinger OD Optometrist PastSince Feb 22, 2012 Accepting new patients

Locations

510 N Esplanade St
Cuero, TX 77954
Phone (361) 275-5743

Interoperability endpoints

  • Direct secure messaging: family@fecofcuero.eyefinity-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1265685879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779543604",
            "telephone_number": "361-275-5743",
            "fax_number": "361-275-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779543604",
            "telephone_number": "361-275-5743",
            "fax_number": "361-275-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "KRISTIN",
        "middle_name": "BLEVINS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7266TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuero, TX

Sources for this page

Verify at the official NPI Registry.