Individual provider Active NPI

Candace D. McBride, O.D.

  • Optometrist
  • Conroe, TX
National Provider Identifier
1356505481
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7089TG Issued in TX
Practice address
3600 FM 1488 Rd
Ste: 220
Conroe, TX 77384-3817
Phone
(936) 273-3937
NPI assigned
Jul 17, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7089TG TX Primary

Addresses

Primary practice location

3600 FM 1488 Rd
Ste: 220
Conroe, TX 77384-3817

Mailing address

3600 FM 1488 Rd
Ste: 220
Conroe, TX 77384-3817
Phone (936) 273-3937

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
I20090129000654 TX Practitioner - Optometry 2567526965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Invision Eyecare PLLCGroup PAC ID 4284798687, 2 clinicians

Practice addresses (Care Compare)

3600 FM 1488 Rd
Suite 220
Conroe, TX 77384-3867
Phone (936) 273-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7089TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Eyecare PLLC Optometrist CurrentSince Oct 29, 2008 Accepting new patients

Locations

3600 FM 1488 Rd
Ste 220
Conroe, TX 77384
Phone (936) 273-3937

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1356505481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FM 1488 RD",
            "address_2": "STE: 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843817",
            "telephone_number": "936-273-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FM 1488 RD",
            "address_2": "STE: 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843817",
            "telephone_number": "936-273-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "CANDACE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7089TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.