Individual provider Active NPI

Anita Nazar Ali, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1376984583
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8163T Issued in TX
Practice address
12343 Main St
Houston, TX 77035-6205
Phone
(713) 597-2020
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8163T TX Primary
Corneal and Contact Management Optometrist 152WC0802X 8163T TX
Pediatric Optometrist 152WP0200X 8163T TX
Occupational Vision Optometrist 152WX0102X 8163T TX

Addresses

Primary practice location

12343 Main St
Houston, TX 77035-6205

Mailing address

12343 Main St
Houston, TX 77035-6205
Phone (713) 597-2020

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
I20131021001808 TX Practitioner - Optometry 6507091972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optics Eyecare PLLCGroup PAC ID 3274756077, 2 clinicians

Practice addresses (Care Compare)

12343 Main St
Houston, TX 77035-6205
Phone (713) 597-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8163TXMDAddiction (Substance Use Disorder) Counselor
8163TTXMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optics Eyecare PLLC Optometrist CurrentSince Mar 13, 2014 Accepting new patients

Locations

12343 Main St
Houston, TX 77035
Phone (713) 597-2020

11811 FM 1960 Rd W
Ste 198
Houston, TX 77065
Phone (281) 469-4000

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1376984583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12343 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356205",
            "telephone_number": "713-597-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12343 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356205",
            "telephone_number": "713-597-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ANITA",
        "middle_name": "NAZAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8163T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "8163T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "8163T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "8163T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.