Individual provider Active NPI

Noor Abushagur, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1447737093
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9545TG Issued in TX
Practice address
655 Taylor St
Fort Worth, TX 76102-4821
Phone
(817) 289-6800
Fax
(817) 289-6825
NPI assigned
Jul 26, 2018
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9545TG TX Primary

Addresses

Primary practice location

655 Taylor St
Fort Worth, TX 76102-4821

Mailing address

655 Taylor St
Fort Worth, TX 76102-4821
Phone (817) 289-6800

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
I20180810001090 TX Practitioner - Optometry 1153679931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Veritas, PLLCGroup PAC ID 3779808274, 4 clinicians

Practice addresses (Care Compare)

15123 Prestonwood Blvd
Suite 120
Dallas, TX 75248-4701
Phone (214) 253-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9545TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Veritas, PLLC Optometrist CurrentSince Mar 2, 2020 Accepting new patients
University of Houston System Optometrist CurrentSince Jul 25, 2018 Accepting new patients
University of Houston CurrentSince Jul 25, 2018 Accepting new patients
University of Houston System Optometrist Current Accepting new patients

Locations

15123 Prestonwood Blvd
Ste 120
Dallas, TX 75248
Phone (214) 253-2000

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

4901 Calhoun Rd
Rm 2107
Houston, TX 77204
Phone (713) 743-1921

Interoperability endpoints

  • Direct secure messaging: nabushagur@visionveritas.eyefinity-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1447737093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 TAYLOR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024821",
            "telephone_number": "817-289-6800",
            "fax_number": "817-289-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 TAYLOR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024821",
            "telephone_number": "817-289-6800",
            "fax_number": "817-289-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSHAGUR",
        "first_name": "NOOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9545TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.