Individual provider Active NPI

Monique Lashea Adams-Derouen, O.D.

  • Optometrist
  • Spring, TX
National Provider Identifier
1346327137
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5113TG Issued in TX
Practice address
8765 Spring Cypress Rd
Suite N
Spring, TX 77379-3194
Phone
(281) 655-9595
Fax
(281) 251-5362
NPI assigned
Nov 1, 2006
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5113TG TX Primary

Addresses

Primary practice location

8765 Spring Cypress Rd
Suite N
Spring, TX 77379-3194

Mailing address

8765 Spring Cypress Rd
Suite N
Spring, TX 77379-3194
Phone (281) 655-9595

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
I20100702000289 TX Practitioner - Optometry 9638194095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Eyecare AssociatesGroup PAC ID 8729004452, 8 clinicians

Practice addresses (Care Compare)

1415 California St
Houston, TX 77006-2602
Phone (832) 548-5100

8765 Spring Cypress Rd
Suite N
Spring, TX 77379-3195
Phone (281) 655-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aldine Eye Clinic PA Optometrist CurrentSince Feb 5, 2024 Accepting new patients
Lifetime Eyecare Associates Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Dec 30, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Dec 30, 2024 Accepting new patients
Charles a. Garcia, M.D.,P.a. Optometrist PastSince Sep 5, 1991 Accepting new patients
Garcia & Associates, East Houston P.a. Past Accepting new patients
John J. Perez, O.D., P.C Optometrist PastSince Feb 21, 2010 Accepting new patients
Lifetime Eyecare Associates Optometrist PastSince Apr 28, 2024 Accepting new patients
Dr Deborah E Fontenette Optometrist PastSince Feb 5, 2024 Accepting new patients

Locations

1415 California St
Houston, TX 77006
Phone (713) 665-8800

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

5164 Aldine Mail Rte
Houston, TX 77039
Phone (281) 449-1400

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

8765 Spring Cypress Rd
Ste N
Spring, TX 77379
Phone (281) 655-9595

27214 Kuykendahl Rd
Ste 100
The Woodlands, TX 77375
Phone (281) 465-8300

Organizations & group practices 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1346327137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 SPRING CYPRESS RD",
            "address_2": "SUITE N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793194",
            "telephone_number": "281-655-9595",
            "fax_number": "281-251-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 SPRING CYPRESS RD",
            "address_2": "SUITE N",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793194",
            "telephone_number": "281-655-9595",
            "fax_number": "281-251-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS-DEROUEN",
        "first_name": "MONIQUE",
        "middle_name": "LASHEA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5113TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.