Individual provider Active NPI

Joshua Ryan Devera, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1477904399
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9016 Issued in TX
Practice address
3457 Clear Lake City Blvd # 500
Houston, TX 77059-2516
Phone
(281) 729-5070
Fax
(832) 304-5014
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9016 TX Primary

Addresses

Primary practice location

3457 Clear Lake City Blvd # 500
Houston, TX 77059-2516

Mailing address

3457 Clear Lake City Blvd # 500
Houston, TX 77059-2516
Phone (281) 729-5070

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
I20160714000566 TX Practitioner - Optometry 8325330145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Noah Zavala, O.D., PLLC Optometrist CurrentSince Jan 19, 2025 Accepting new patients
Bay Area Optometry Group Optometrist CurrentSince Jun 30, 2020 Accepting new patients
Larry W. Binford Optometrist PastSince Jun 27, 2016 Accepting new patients

Locations

3457 Clear Lake City Blvd
Ste 500
Houston, TX 77059
Phone (281) 729-5070

2702 Palmer Hwy
Texas City, TX 77590
Phone (409) 948-0172

Interoperability endpoints

  • Direct secure messaging: joshua.devera@uprisedirect.com

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1477904399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 CLEAR LAKE CITY BLVD # 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592516",
            "telephone_number": "281-729-5070",
            "fax_number": "832-304-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 CLEAR LAKE CITY BLVD # 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592516",
            "telephone_number": "281-729-5070",
            "fax_number": "832-304-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERA",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.