Active NPI
Lestavia Duplantier, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1316074545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6307T
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00300Z | Other | TX | MEDICARE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6307T | TX | MD | Corneal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.