Individual provider Active NPI

Jerry Luo, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1316630056
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10890 Issued in TX
Practice address
9105 W Sam Houston Pkwy N Ste 800
Houston, TX 77064-6311
Phone
(281) 970-6900
NPI assigned
May 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10890 TX Primary

Addresses

Primary practice location

9105 W Sam Houston Pkwy N Ste 800
Houston, TX 77064-6311

Mailing address

3307 Waters Way Dr
Sugar Land, TX 77478-4467

Other practice location 1

1084 Baybrook Mall
Friendswood, TX 77546-2744
Phone (281) 480-7886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231016002177 TX Practitioner - Optometry 4880049535 Reassigns benefits to 1 organization
I20251104001470 FL Practitioner - Optometry 4880049535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

244 Millet Cir
Cantonment, FL 32533-7889

36 Maple St
Kearny, NJ 07032-1927

8990 N Davis Hwy
Pensacola, FL 32514-5305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10890TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Friendly Eyes Optometry LLC CurrentSince Sep 1, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients

Locations

1808 W International Speedway Blvd
Ste 502
Daytona Beach, FL 32114
Phone (386) 255-1541

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

9105 W Sam Houston Pkwy N
Ste 800
Houston, TX 77064
Phone (281) 970-6900

1534 W Grand Pkwy S
Katy, TX 77494
Phone (281) 693-3937

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

2006 N Main St
Pearland, TX 77581
Phone (281) 485-5591

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1316630056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 WATERS WAY DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 W SAM HOUSTON PKWY N STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770646311",
            "telephone_number": "281-970-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 Baybrook Mall",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775462744",
            "country_code": "US",
            "telephone_number": "281-480-7886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUO",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.