Individual provider Active NPI

Amy Munroe Parker, O.D.

  • Optometrist
  • Humble, TX
National Provider Identifier
1639340359
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7192T Issued in TX
Practice address
20119A Highway 59 N
Humble, TX 77338-2315
Phone
(832) 764-7809
Fax
(281) 955-9931
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 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 7192T TX Primary

Addresses

Primary practice location

20119A Highway 59 N
Humble, TX 77338-2315

Mailing address

20119A Highway 59 N
Humble, TX 77338-2315
Phone (281) 446-5800

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
I20091119000618 TX Practitioner - Optometry 7517006117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7192TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Tso, Inc. Optometrist Past Accepting new patients
Tomball Texas State Optical PA Optometrist PastSince Jun 1, 2008 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1639340359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20119A HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382315",
            "telephone_number": "281-446-5800",
            "fax_number": "281-446-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20119A HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382315",
            "telephone_number": "832-764-7809",
            "fax_number": "281-955-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMY",
        "middle_name": "MUNROE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7192T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.