Individual provider Active NPI

Polyanna De la Garza, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1538294376
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6790TG Issued in TX
Practice address
22438 Tomball Pkwy
Houston, TX 77070-1529
Phone
(281) 925-7576
Fax
(281) 858-2503
NPI assigned
Feb 22, 2007
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 6790TG TX Primary

Addresses

Primary practice location

22438 Tomball Pkwy
Houston, TX 77070-1529

Mailing address

22438 Tomball Pkwy
Houston, TX 77070-1529
Phone (281) 925-7576

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
I20060127000076 TX Practitioner - Optometry 9830103001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22438 Tomball Pkwy
Houston, TX 77070-1529
Phone (281) 925-7576

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6790TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Polyanna de la Garza Optometrist PLLC Optometrist CurrentSince May 1, 2020 Accepting new patients
Neurosensory Center of Bellaire PA Optometrist Past Accepting new patients
Bellaire Family Eye Care PA Optometrist Past Accepting new patients
Vision Centers of Houston Greenway Galleria PLLC PastSince Nov 7, 2023 Accepting new patients

Locations

22438 Tomball Pkwy
Houston, TX 77070
Phone (281) 925-7576

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, 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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1538294376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22438 TOMBALL PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701529",
            "telephone_number": "281-925-7576",
            "fax_number": "281-858-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22438 TOMBALL PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701529",
            "telephone_number": "281-925-7576",
            "fax_number": "281-858-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA GARZA",
        "first_name": "POLYANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6790TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.