Individual provider Active NPI

Haleh Ebrahimi

  • Optometrist
  • Houston, TX
National Provider Identifier
1386909703
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9945T Issued in TX
Practice address
915 Gessner Rd Ste 250
Houston, TX 77024-2534
Phone
(713) 467-5660
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9945T TX Primary

Addresses

Primary practice location

915 Gessner Rd Ste 250
Houston, TX 77024-2534

Mailing address

2855 Gramercy St Ste 400
Houston, TX 77025-1756

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address haleh.ebrahimi@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131015001716 FL Practitioner - Optometry 9931365376
I20210310000210 TX Practitioner - Optometry 9931365376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Optic PLLCGroup PAC ID 2163524133, 13 clinicians

Practice addresses (Care Compare)

915 Gessner Rd
Suite 250
Houston, TX 77024-2534
Phone (713) 467-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9945TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Optic, PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Houston Optic PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist Past Accepting new patients

Locations

590 Chimney Rock Rd
Houston, TX 77056
Phone (713) 782-4406

2855 Gramercy St
Ste 400
Houston, TX 77025

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

2855 Gramercy St
#400
Houston, TX 77025

915 Gessner Rd
Ste 250
Houston, TX 77024
Phone (713) 467-5660

1331 W Grand Pkwy N
Ste 120
Katy, TX 77493
Phone (281) 347-0176

22659 Highway 59 N
Ste 100
Kingwood, TX 77339
Phone (281) 858-3937

10907 Memorial Hermann Dr
Ste 150
Pearland, TX 77584
Phone (281) 582-9100

1699 Research Forest Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 363-2071

1447 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: haleh.ebrahimi@houstoneye.direct.eyemdemr.com

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1386909703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242534",
            "telephone_number": "713-467-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "HALEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2021-05-24",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9945T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haleh.ebrahimi@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.