Active NPI
Jennifer Y Sheen, OD
- Optometrist
- Houston, TX
National Provider Identifier
1447773486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9209TG
- Practice address
- 5158 Buffalo Speedway
Houston, TX 77005-4202 - Phone
- (713) 838-2020
- Fax
- (713) 828-2030
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9209TG | TX | Primary |
Addresses
Primary practice location
5158 Buffalo Speedway
Houston, TX 77005-4202
Mailing address
5158 Buffalo Speedway
Houston, TX 77005-4202
Phone (713) 838-2020
Other practice location 1
1100 Pasadena Blvd Ste D
Pasadena, TX 77506-4756
Phone (713) 920-2020
Other practice location 2
10201 Broadway St Ste 101
Pearland, TX 77584-8786
Phone (713) 436-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9209TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447773486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5158 BUFFALO SPEEDWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770054202",
"telephone_number": "713-838-2020",
"fax_number": "713-828-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5158 BUFFALO SPEEDWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770054202",
"telephone_number": "713-838-2020",
"fax_number": "713-828-2030"
}
],
"practiceLocations": [
{
"address_1": "1100 Pasadena Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775064756",
"country_code": "US",
"telephone_number": "713-920-2020",
"fax_number": "713-920-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10201 Broadway St Ste 101",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775848786",
"country_code": "US",
"telephone_number": "713-436-3333",
"fax_number": "713-436-6128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEEN",
"first_name": "JENNIFER",
"middle_name": "Y",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2022-07-21",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9209TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.