Individual provider Active NPI

Deshundra Sheumel Antoine, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1518364082
Registry record updated Nov 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8565 Issued in TX
Practice address
8122 Misty Vale LN
Houston, TX 77075-4633
Phone
(713) 408-4390
NPI assigned
Nov 29, 2014
Last updated
Nov 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8565 TX Primary

Addresses

Primary practice location

8122 Misty Vale LN
Houston, TX 77075-4633

Mailing address

8122 Misty Vale LN
Houston, TX 77075-4633
Phone (713) 408-4390

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
I20181114001472 TX Practitioner - Optometry 0648540666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Special Care Optometry of TX PCGroup PAC ID 1557860301, 5 clinicians

Practice addresses (Care Compare)

211 E 7TH St
Suite 620
Austin, TX 78701-3218
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8565TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health Center, Inc CurrentSince Aug 2, 2018 Accepting new patients
Gulf Coast Health Center, Inc CurrentSince Aug 2, 2018 Accepting new patients
Devision Eye Care, LLC Optometrist CurrentSince Jul 27, 2018 Accepting new patients
Special Care Optometry of TX PC Optometrist CurrentSince Jul 9, 2025 Accepting new patients
Gulf Coast Health Center Inc Optometrist Current Accepting new patients
Gulf Coast Health Center Inc Past Accepting new patients

Locations

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (502) 214-4812

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

1617 S Highway 69
Nederland, TX 77627
Phone (409) 721-6897

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

601B W Rev Dr Ransom Howard St
Port Arthur, TX 77640

Organizations & group practices 6

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": "1417219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417219200000",
    "number": "1518364082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 MISTY VALE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754633",
            "telephone_number": "713-408-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 MISTY VALE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754633",
            "telephone_number": "713-408-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "DESHUNDRA",
        "middle_name": "SHEUMEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-29",
        "last_updated": "2014-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.