Annalisa Erder-Mikel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9984 Issued in TX

Practice address

18423 FM 1488 Rd Ste D
Magnolia, TX 77354-8512

Phone

(346) 386-0100

Fax

(346) 386-0109

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Annalisa Erder Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elite Vision Care, PLLC

  • Optometrist
  • League City, TX
  • NPI 1750566733
  Medicare reassignment NPD
• Travis Moffatt OD PLLC

  • Optometrist
  • Magnolia, TX
  • NPI 1760005375
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1568075679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18423 FM 1488 RD STE D",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773548512",
            "telephone_number": "346-386-0100",
            "fax_number": "346-386-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18423 FM 1488 RD STE D",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773548512",
            "telephone_number": "346-386-0100",
            "fax_number": "346-386-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 W League City Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775737458",
            "country_code": "US",
            "telephone_number": "281-554-7080",
            "fax_number": "281-554-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDER-MIKEL",
        "first_name": "ANNALISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNALISA",
            "last_name": "ERDER",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Feras N Elhajj, MD
• Elle Diagnostic PA
• Rosaura Emerson
• Fred Samuel Emmite, R.PH., CDM
• Nicole Ener
• Lasherrie Ervin
• Esgb, Inc
• Kathy Espada, PHARMD
• Marie Esteen
• Rosalinda Dianna Estrada, LPC

• Optometrist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.