Individual provider Active NPI

Sara Elena Iranpour, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1306143433
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7637TG Issued in TX
Practice address
12713 FM 1960 Rd W
Houston, TX 77065-4014
Phone
(281) 890-9960
Fax
(281) 890-9938
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7637TG TX Primary

Addresses

Primary practice location

12713 FM 1960 Rd W
Houston, TX 77065-4014

Mailing address

10000 Emmett F Lowry Expy
Suite 1478
Texas City, TX 77591-2127
Phone (409) 986-2155

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
I20120919000263 TX Practitioner - Optometry 3173771086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12713 FM 1960 Rd W
Houston, TX 77065-4014
Phone (281) 890-9960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7637TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara E Iranpour OD PLLC Optometrist CurrentSince Jul 19, 2012 Accepting new patients

Locations

12713 FM 1960 Rd W
Houston, TX 77065
Phone (281) 517-0023

10000 Emmett F Lowry Expy
Ste 1478
Texas City, TX 77591
Phone (409) 986-2155

Organizations & group practices 1

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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1306143433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 1478",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912127",
            "telephone_number": "409-986-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12713 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654014",
            "telephone_number": "281-890-9960",
            "fax_number": "281-890-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANPOUR",
        "first_name": "SARA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7637TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.