Individual provider Active NPI

Binita Gupta, OD

  • Optometrist
  • Conroe, TX
National Provider Identifier
1497224802
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9608T Issued in TX
Practice address
2443 FM 1488 Rd Apt 1307
Conroe, TX 77384-4936
Phone
(832) 336-1054
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9608T TX Primary

Addresses

Primary practice location

2443 FM 1488 Rd Apt 1307
Conroe, TX 77384-4936

Mailing address

2443 FM 1488 Rd Apt 1307
Conroe, TX 77384-4936
Phone (832) 336-1054

Other names 1

  • Binita Bhadreshkumar Patel Former name

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
I20210722000144 TX Practitioner - Optometry 8527461078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9608TXMDBehavioral Analyst
9608TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Vision Associates PC Single Specialty CurrentSince Jun 22, 2021 Accepting new patients

Locations

1409 N Loop 336 W
Conroe, TX 77304
Phone (936) 788-2551

25800 Kuykendahl Rd
Tomball, TX 77375
Phone (832) 761-8483

Organizations & group practices 1

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1497224802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FM 1488 RD APT 1307",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844936",
            "telephone_number": "832-336-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 FM 1488 RD APT 1307",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844936",
            "telephone_number": "832-336-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "BINITA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9608T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINITA",
            "last_name": "PATEL",
            "middle_name": "BHADRESHKUMAR",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.