Individual provider Active NPI

Markitta Samone Barnett, O.D.

  • Optometrist
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1649478819
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7281T Issued in TX
Practice address
2500 Funston Road
Jbsa Ft Sam Houston, TX 78234
Phone
(210) 223-1104
Fax
(210) 223-6063
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2048 NC
Optometrist 152W00000X 348 AK
Optometrist 152W00000X 7281T TX Primary

Addresses

Primary practice location

2500 Funston Road
Jbsa Ft Sam Houston, TX 78234

Mailing address

1610 Bunchberry
San Antonio, TX 78260-4438
Phone (210) 592-3641

Other identifiers 1

IdentifierTypeStateIssuer
11717323OtherCAQH

Other names 1

  • Dr. Markitta S. Jemerson-Dixon Former name

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
I20081201000478 TX Practitioner - Optometry 4183710528 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Sam Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2048NCMDMarriage & Family Therapist
2249SCMDDentist
7281TTXMDOptometrist
348AKMDPh.D. Medical Genetics

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Associates Vision Center TX PLLC Optometrist PastSince Jan 1, 2025 Accepting new patients
Icare Associates Vision Center LLC. Optometrist PastSince Jan 1, 2025 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1649478819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BUNCHBERRY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604438",
            "telephone_number": "210-592-3641",
            "fax_number": "360-935-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FUNSTON ROAD",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-223-1104",
            "fax_number": "210-223-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MARKITTA",
        "middle_name": "SAMONE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-06-16",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2048",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "348",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7281T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11717323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARKITTA",
            "last_name": "JEMERSON-DIXON",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.