Individual provider Active NPI

Nadia Lera-Augustine, O.D.

  • Optometrist
  • Beaumont, TX
National Provider Identifier
1366786691
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8023TG Issued in TX
Practice address
6725 Delaware St
Beaumont, TX 77706-7655
Phone
(409) 832-9151
Fax
(409) 835-3623
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 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 8023TG TX Primary

Addresses

Primary practice location

6725 Delaware St
Beaumont, TX 77706-7655

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

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
I20200422002841 TX Practitioner - Optometry 8820428428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

11159 Westheimer Rd
Houston, TX 77042-3218
Phone (713) 978-7504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8023TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Feb 17, 2020 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 17, 2020 Accepting new patients

Locations

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

9950 Katy Fwy
Ste A
Houston, TX 77055
Phone (713) 334-2020

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

11159 Westheimer Rd
Houston, TX 77042
Phone (713) 978-7504

14637 Memorial Dr
Ste D
Houston, TX 77079
Phone (832) 770-4926

4011 FM 1463 Rd
Katy, TX 77494
Phone (281) 644-2020

1245 Fry Rd
Ste A
Katy, TX 77449
Phone (713) 752-2020

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

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1366786691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067655",
            "telephone_number": "409-832-9151",
            "fax_number": "409-835-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERA-AUGUSTINE",
        "first_name": "NADIA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8023TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.