Individual provider Active NPI

Ashley Nicole Olivarez, OD

  • Optometrist
  • Garland, TX
National Provider Identifier
1609398486
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9185T Issued in TX
Practice address
325 N Shiloh Rd # 103
Garland, TX 75042-6610
Phone
(214) 703-9700
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9185T TX Primary

Addresses

Primary practice location

325 N Shiloh Rd # 103
Garland, TX 75042-6610

Mailing address

325 N Shiloh Rd Ste 103
Garland, TX 75042-6610
Phone (361) 443-4370

Other practice location 1

325 N Shiloh Rd # 103
Garland, TX 75042-6610
Phone (214) 703-9700

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
I20190205001238 TX Practitioner - Optometry 5799023412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1437 Hwy 6
Suite 400
Sugar Land, TX 77478-5131
Phone (281) 265-9090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9185TXMDGeneral Practice Dentistry
9185TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Eyedr Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Dianne Bui Dao OD PC Optometrist CurrentSince Jun 30, 2021 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jun 30, 2021 Accepting new patients
Thao T Thach Inc PastSince Jun 1, 2005 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

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

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

9500 Spencer Hwy
La Porte, TX 77571
Phone (281) 476-5107

4725 Highway 6
Missouri City, TX 77459
Phone (281) 261-2647

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

1251 E Southlake Blvd
Ste 331
Southlake, TX 76092
Phone (817) 310-0289

1437 Highway 6
Ste 400
Sugar Land, TX 77478
Phone (281) 265-9090

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1609398486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N SHILOH RD STE 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426610",
            "telephone_number": "361-443-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SHILOH RD # 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426610",
            "telephone_number": "214-703-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N Shiloh Rd # 103",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750426610",
            "country_code": "US",
            "telephone_number": "214-703-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9185T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.