Individual provider Active NPI

Jennifer Y Sheen, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1447773486
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9209TG Issued in TX
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9209TGTXMDOptometrist

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

Verify at the official NPI Registry.