Individual provider Active NPI

Lestavia Duplantier, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1316074545
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6307T Issued in TX
Practice address
5815 E Sam Houston Pkwy N Ste a
Houston, TX 77049-2524
Phone
(281) 459-3700
Fax
(281) 459-9700
NPI assigned
Feb 27, 2007
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6307T TX Primary
Corneal and Contact Management Optometrist 152WC0802X 6307T TX
Pediatric Optometrist 152WP0200X 6307T TX

Addresses

Primary practice location

5815 E Sam Houston Pkwy N Ste a
Houston, TX 77049-2524

Mailing address

5815 E Sam Houston Pkwy N Ste a
Houston, TX 77049-2524
Phone (281) 459-3700

Other identifiers 1

IdentifierTypeStateIssuer
00300ZOtherTXMEDICARE PTAN

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
I20050827000137 TX Practitioner - Optometry 6406887611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5815 E Sam Houston Pkwy N
Suite a
Houston, TX 77049-2524
Phone (281) 459-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6307TTXMDCorneal and Contact Management Optometrist

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, 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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1316074545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 E SAM HOUSTON PKWY N STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492524",
            "telephone_number": "281-459-3700",
            "fax_number": "281-459-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 E SAM HOUSTON PKWY N STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492524",
            "telephone_number": "281-459-3700",
            "fax_number": "281-459-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLANTIER",
        "first_name": "LESTAVIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6307T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6307T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "6307T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00300Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.