Individual provider Active NPI

Michaela Chioma Anukwuem, OD

  • Optometrist
  • Katy, TX
National Provider Identifier
1558844829
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9587TG Issued in TX
Practice address
1331 W Grand Pkwy N Ste 120
Katy, TX 77493-2711
Phone
(281) 347-0177
NPI assigned
Sep 12, 2018
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9587TG TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 120
Katy, TX 77493-2711

Mailing address

2855 Gramercy St Ste 400
Houston, TX 77025-1756
Phone (713) 668-6828

Other identifiers 1

IdentifierTypeStateIssuer
420871201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaela.anukwuem@houstoneye.direct.eyemdemr.com Direct

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
I20210318000002 TX Practitioner - Optometry 1254748254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Optic PLLCGroup PAC ID 2163524133, 13 clinicians

Practice addresses (Care Compare)

2855 Gramercy St
Houston, TX 77025-1756
Phone (713) 668-1828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9587TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Optic, PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Houston Optic PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

2855 Gramercy St
Ste 400
Houston, TX 77025

590 Chimney Rock Rd
Houston, TX 77056
Phone (713) 782-4406

1331 W Grand Pkwy N
Ste 120
Katy, TX 77493
Phone (281) 347-0176

22659 Highway 59 N
Ste 100
Kingwood, TX 77339
Phone (281) 858-3937

10907 Memorial Hermann Dr
Ste 150
Pearland, TX 77584
Phone (281) 582-9100

1699 Research Forest Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 363-2071

5211 FM 2920 Rd
Ste 102
Spring, TX 77388
Phone (281) 444-1677

1447 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: michaelaanukwuem@houstoneye.direct.eyemdemr.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, 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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1558844829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 120",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "281-347-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUKWUEM",
        "first_name": "MICHAELA",
        "middle_name": "CHIOMA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2021-05-24",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9587TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420871201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaela.anukwuem@houstoneye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1331 W Grand Pkwy N Ste 120",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774932711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.