Individual provider Active NPI

Anusha Rachel Mathew, OD

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1609506336
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10537 Issued in TX
Practice address
15337 Southwest Fwy
Sugar Land, TX 77478-3832
Phone
(281) 242-2020
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10537TG TX
Optometrist 152W00000X 10537 TX Primary

Addresses

Primary practice location

15337 Southwest Fwy
Sugar Land, TX 77478-3832

Mailing address

15337 Southwest Fwy
Sugar Land, TX 77478-3832
Phone (281) 242-2020

Other practice location 1

24200 Southwest Fwy Ste 102
Rosenberg, TX 77471-5985
Phone (281) 342-3554

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
I20220712000721 TX Practitioner - Optometry 4789064411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
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)

16200 City Walk
Sugar Land, TX 77479-6543
Phone (281) 265-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10537TXMDAddiction (Substance Use Disorder) Counselor
10537TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

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

23701 Cinco Ranch Blvd
Ste 170
Katy, TX 77494
Phone (281) 347-3937

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

24200 Southwest Fwy
Ste 102
Rosenberg, TX 77471
Phone (281) 342-3554

15337 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 242-2020

16200 City Walk
Sugar Land, TX 77479
Phone (281) 265-2000

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1609506336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15337 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783832",
            "telephone_number": "281-242-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15337 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783832",
            "telephone_number": "281-242-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24200 Southwest Fwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rosenberg",
            "state": "TX",
            "postal_code": "774715985",
            "country_code": "US",
            "telephone_number": "281-342-3554",
            "fax_number": "281-232-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANUSHA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10537TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.