Individual provider Active NPI

Ayesha Rashed Butt, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1407197338
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7966T Issued in TX
Practice address
5774 FM 1960 West
Houston, TX 77069-4204
Phone
(281) 440-5887
Fax
(281) 440-0368
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7966T TX Primary

Addresses

Primary practice location

5774 FM 1960 West
Houston, TX 77069-4204

Mailing address

5774 FM 1960 West
Houston, TX 77069-4204
Phone (281) 440-5887

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
I20140804000870 TX Practitioner - Optometry 1355568064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5774 FM 1960 Rd W
Houston, TX 77069-4204
Phone (281) 440-5887

5774 FM 1960 W Rd
Houston, TX 77069-4204

6100 Westheimer Rd
Suite 136
Houston, TX 77057-4535
Phone (713) 714-1608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7966TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Briargrove Eyecare PC Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Complete Eyecare PC Optometrist CurrentSince Dec 29, 2014 Accepting new patients

Locations

5774 FM 1960 Rd W
Houston, TX 77069
Phone (281) 440-5887

6100 Westheimer Rd
Ste 136A
Houston, TX 77057
Phone (713) 785-2022

6100 Westheimer Rd
Ste 136
Houston, TX 77057
Phone (713) 714-1608

Interoperability endpoints

  • Direct secure messaging: direct@texasstateopticalhoustontx.compulinkdirect.com

Organizations & group practices 2

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": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1407197338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "281-440-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "281-440-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "AYESHA",
        "middle_name": "RASHED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7966T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.