Individual provider Active NPI

Bethany Fabrygel, OD

  • Optometrist
  • Kingwood, TX
National Provider Identifier
1467813014
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9145TG Issued in TX
Practice address
25639 Highway 59 N Ste 109
Kingwood, TX 77339-1795
Phone
(832) 810-2020
Fax
(832) 930-4441
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 9145TG TX Primary

Addresses

Primary practice location

25639 Highway 59 N Ste 109
Kingwood, TX 77339-1795

Mailing address

2719 Reynolds St
Houston, TX 77009-8144
Phone (361) 676-9368

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
I20170707002550 TX Practitioner - Optometry 6507135456 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9145TXMDChiropractor
9145TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tso Kingwood North Park PA Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Tso Richmond Aliana PA Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Tso Rayford PA Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

25639 Highway 59 N
Ste 109
Kingwood, TX 77339
Phone (832) 810-2020

10117 W Grand Pkwy S
Ste 101
Richmond, TX 77407
Phone (832) 781-2020

10117 W Grand Pkwy S
Ste 101
Richmond, TX 77407
Phone (832) 781-2020

3535 Rayford Rd
Ste 500
Spring, TX 77386
Phone (832) 791-2020

18851 University Blvd
Ste 220
Sugar Land, TX 77479
Phone (713) 714-2320

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1467813014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 REYNOLDS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770098144",
            "telephone_number": "361-676-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25639 HIGHWAY 59 N STE 109",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391795",
            "telephone_number": "832-810-2020",
            "fax_number": "832-930-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRYGEL",
        "first_name": "BETHANY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9145TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.