Mahdokht Davoodi, O.D., M.S.
Individual provider Active NPI Optometrist · Tomball, TX
NPI 1326326232 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1326326232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 9579TG (TX)
- Practice address
- 25640 Kuykendahl Rd Ste G
Tomball, TX 77375-1872 - Phone
- (346) 808-7342
- NPI assigned
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25640 Kuykendahl Rd
Suite G
Tomball, TX 77375-1872
Phone (346) 808-7342
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190328002436 | TX | Practitioner - Optometry | 8820260227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9579TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2020 Vision, PLLC | Optometrist | Current |
Accepting new patients |
| Texas Retina Center, PLLC | Past |
Accepting new patients | |
| Ophthalmology Consulting Services, PC | Past | Accepting new patients |
Locations
25640 Kuykendahl Rd
Ste G
Tomball, TX 77375
Phone (346) 808-7342
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9579TG | TX | Yes |
Addresses
Primary practice location
25640 Kuykendahl Rd Ste G
Tomball, TX 77375-1872
Mailing address
25640 Kuykendahl Rd Ste G
Tomball, TX 77375-1872
Phone (346) 808-7342
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.