Individual provider Active NPI

Anushka Lewkebandara, OD

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1508607086
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11204 Issued in TX
Practice address
6565 West Loop S Ste 650
Bellaire, TX 77401-3505
Phone
(713) 797-1010
NPI assigned
Jun 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11204 TX Primary

Addresses

Primary practice location

6565 West Loop S Ste 650
Bellaire, TX 77401-3505

Mailing address

1009 High Ridge Dr
Friendswood, TX 77546-3675
Phone (281) 787-0837

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
I20250205001357 TX Practitioner - Optometry 9234669375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Texas LLPGroup PAC ID 8224054259, 19 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Blvd
Suite 118
Conroe, TX 77304-2821
Phone (936) 647-1520

4415 Crenshaw Rd
Pasadena, TX 77504-3628
Phone (281) 977-8888

6565 W Loop S
Bellaire, TX 77401-3505
Phone (713) 797-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11204TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Texas LLP CurrentSince Nov 3, 2024 Accepting new patients

Locations

6565 West Loop S
Ste 650
Bellaire, TX 77401

100 Medical Center Blvd
#1
Conroe, TX 77304
Phone (936) 647-1520

100 Medical Center Blvd
Ste 118
Conroe, TX 77304
Phone (936) 539-4031

2051 Greenhouse Rd
Ste 110
Houston, TX 77084

4415 Crenshaw Rd
Pasadena, TX 77504
Phone (281) 998-0500

15200 Southwest Fwy
Ste 130
Sugar Land, TX 77478
Phone (281) 265-8500

455 E Medical Center Blvd
Ste 110
Webster, TX 77598
Phone (281) 332-1397

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1508607086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 HIGH RIDGE DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463675",
            "telephone_number": "281-787-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013505",
            "telephone_number": "713-797-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWKEBANDARA",
        "first_name": "ANUSHKA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.