Individual provider Active NPI

Jessica Jordan Ustick, OD, MS

  • Optometrist
  • Katy, TX
National Provider Identifier
1437839701
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10910T Issued in TX
Practice address
750 Westgreen Blvd
Katy, TX 77450-2799
Phone
(281) 392-3937
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10910T TX Primary

Addresses

Primary practice location

750 Westgreen Blvd
Katy, TX 77450-2799

Mailing address

6807 Schiller St
Houston, TX 77055-5203
Phone (713) 476-1481

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
I20230829003942 TX Practitioner - Optometry 6406219054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

750 Westgreen Blvd
Katy, TX 77450-2799
Phone (281) 392-3937

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10910TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center Optometrist CurrentSince Jul 12, 2023 Accepting new patients
Mann Eye Center, PA Optometrist Current Accepting new patients
Mann Eye Center, PA Optometrist CurrentSince Jul 12, 2023 Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

750 Westgreen Blvd
Katy, TX 77450
Phone (281) 392-3937

6424 E Riverpark Dr
Ste 100
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: justick@manneye.emadirect.md

Organizations & group practices 5

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1437839701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 SCHILLER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770555203",
            "telephone_number": "713-476-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WESTGREEN BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502799",
            "telephone_number": "281-392-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USTICK",
        "first_name": "JESSICA",
        "middle_name": "JORDAN",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10910T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.