Individual provider Active NPI

Jose Alfredo Payan, O.D.

  • Optometrist
  • Cypress, TX
National Provider Identifier
1609009885
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7486T Issued in TX
Practice address
9740 Barker Cypress Rd
Suite 112
Cypress, TX 77433-1973
Phone
(281) 550-7900
Fax
(281) 550-7909
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 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 7486T TX Primary

Addresses

Primary practice location

9740 Barker Cypress Rd
Suite 112
Cypress, TX 77433-1973

Mailing address

9740 Barker Cypress Rd
Suite 112
Cypress, TX 77433-1973
Phone (281) 550-7900

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
I20160629001736 TX Practitioner - Optometry 7618268293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Tara B. Bailey, O.D., P.a.Group PAC ID 4981849932, 2 clinicians
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

31315 FM 2920 Rd
Waller, TX 77484-8049
Phone (936) 372-3644

9740 Barker Cypress Rd
Suite 112
Cypress, TX 77433-1974
Phone (281) 550-7900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7486TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tara B. Bailey, O.D., P.a. Optometrist CurrentSince Jun 2, 2025 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jan 19, 2021 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Waller Family Eyecare Optometrist PastSince Jun 2, 2025 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

9740 Barker Cypress Rd
Ste 112
Cypress, TX 77433
Phone (281) 550-7900

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

31315 FM 2920 Rd
Ste 19
Waller, TX 77484
Phone (936) 372-3644

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1609009885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 BARKER CYPRESS RD",
            "address_2": "SUITE 112",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331973",
            "telephone_number": "281-550-7900",
            "fax_number": "281-550-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 BARKER CYPRESS RD",
            "address_2": "SUITE 112",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331973",
            "telephone_number": "281-550-7900",
            "fax_number": "281-550-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYAN",
        "first_name": "JOSE",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7486T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.