Individual provider Active NPI

Judy Marie Myers, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1265701767
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7738TG Issued in TX
Practice address
3401 Golden Triangle Blvd # 121
Fort Worth, TX 76177-7167
Phone
(817) 290-4959
Fax
(817) 290-4958
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7738TG TX Primary

Addresses

Primary practice location

3401 Golden Triangle Blvd # 121
Fort Worth, TX 76177-7167

Mailing address

3401 Golden Triangle Blvd # 121
Fort Worth, TX 76177-7167
Phone (817) 290-4959

Other practice location 1

1201 Summit Ave
Fort Worth, TX 76102-4413
Phone (817) 332-2020

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
I20130301000348 TX Practitioner - Optometry 6406001163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3401 Golden Triangle Blvd
Suite 121
Fort Worth, TX 76177-7167
Phone (817) 290-4959

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
99.97
Improvement activities
40
Cost
75.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Partners, PA CurrentSince May 6, 2013 Accepting new patients
Texas Family Vision Center LLC Optometrist CurrentSince Jan 2, 2024 Accepting new patients
Ophthalmic Partners , PA Current Accepting new patients

Locations

5801 Oakbend Trl
Ste 100
Fort Worth, TX 76132
Phone (817) 346-2969

3401 Golden Triangle Blvd
Ste 121
Ft Worth, TX 76177
Phone (817) 290-4959

1201 Summit Ave
Ft Worth, TX 76102
Phone (817) 332-2020

3906 E US Highway 377
Ste 103
Granbury, TX 76049

804 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 341-5609

Interoperability endpoints

  • Direct secure messaging: jmyers@oafwtx.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1265701767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GOLDEN TRIANGLE BLVD # 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777167",
            "telephone_number": "817-290-4959",
            "fax_number": "817-290-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GOLDEN TRIANGLE BLVD # 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777167",
            "telephone_number": "817-290-4959",
            "fax_number": "817-290-4958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761024413",
            "country_code": "US",
            "telephone_number": "817-332-2020",
            "fax_number": "817-332-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JUDY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7738TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.