Individual provider Active NPI

Katherine Prichard Hyde, O.D.

  • Optometrist
  • Huntsville, TX
National Provider Identifier
1407855232
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6079TG Issued in TX
Practice address
141 Interstate 45 S
Suite a
Huntsville, TX 77340-4243
Phone
(936) 295-2273
Fax
(936) 295-2297
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6079TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 6079TG TX

Addresses

Primary practice location

141 Interstate 45 S
Suite a
Huntsville, TX 77340-4243

Mailing address

P.O. Box 2953
Conroe, TX 77320
Phone (832) 713-2101

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
I20040405000930 TX Practitioner - Optometry 1355334558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Interstate 45 S
Suite a
Huntsville, TX 77340-4242
Phone (936) 295-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6079TXMDBehavioral Analyst
6079TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Vision, PLLC Optometrist CurrentSince Jul 1, 2004 Accepting new patients
Better Vision, PA Optometrist PastSince Apr 4, 2011 Accepting new patients
Southeast Texas Medical Associates, LLP Past Accepting new patients

Locations

141 Interstate 45 S
Ste A
Huntsville, TX 77340
Phone (409) 886-2015

100 N Lhs Dr
Lumberton, TX 77657
Phone (409) 755-2020

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1407855232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2953",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77320",
            "telephone_number": "832-713-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 INTERSTATE 45 S",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404243",
            "telephone_number": "936-295-2273",
            "fax_number": "936-295-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "KATHERINE",
        "middle_name": "PRICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6079TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6079TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.