Individual provider Active NPI

Samir Bhakta, O.D.

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1457551459
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7056TG Issued in TX
Practice address
4109 S Staples St
At the New Parkdale Supercenter
Corpus Christi, TX 78411-5500
Phone
(361) 854-2020
Fax
(361) 854-2021
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7056TG TX Primary

Addresses

Primary practice location

4109 S Staples St
At the New Parkdale Supercenter
Corpus Christi, TX 78411-5500

Mailing address

4109 S Staples St
Corpus Christi, TX 78411-5500
Phone (361) 854-2020

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
I20071116000329 TX Practitioner - Optometry 5395833883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4109 S Staples St
Corpus Christi, TX 78411-5500
Phone (361) 854-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7056TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samir Bhakta, O.D., P.a. Optometrist CurrentSince Oct 19, 2011 Accepting new patients
Walz Vision PA Optometrist PastSince Aug 25, 2022 Accepting new patients
Family Vision Associates,PA Optometrist PastSince Aug 11, 2008 Accepting new patients

Locations

4109 S Staples St
Corpus Christi, TX 78411
Phone (361) 854-2020

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1457551459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115500",
            "telephone_number": "361-854-2020",
            "fax_number": "361-854-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 S STAPLES ST",
            "address_2": "AT THE NEW PARKDALE SUPERCENTER",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115500",
            "telephone_number": "361-854-2020",
            "fax_number": "361-854-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "SAMIR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7056TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.