Individual provider Active NPI

Bereket Haileab Tsegai, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1649602962
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8180T Issued in TX
Practice address
11660 Westheimer Rd Ste 125
Houston, TX 77077
Phone
(281) 752-4100
Fax
(281) 752-4101
NPI assigned
Aug 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 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 8180T TX Primary

Addresses

Primary practice location

11660 Westheimer Rd Ste 125
Houston, TX 77077

Mailing address

11660 Westheimer Rd Ste 125
Houston, TX 77077-6798
Phone (281) 752-4100

Other practice location 1

11660 Westheimer Rd Ste 125
Houston, TX 77077
Phone (281) 752-4100

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
I20151014000560 TX Practitioner - Optometry 4880903897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11660 Westheimer Rd
Suite 125
Houston, TX 77077-6798
Phone (281) 752-4100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8180TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Vision Care LLC Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Jesus Vision LLC Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Aeg Texas Professional PLLC Optometrist PastSince Jan 2, 2021 Accepting new patients

Locations

11660 Westheimer Rd
Ste 125
Houston, TX 77077
Phone (281) 752-4100

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": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1649602962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 WESTHEIMER RD STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776798",
            "telephone_number": "281-752-4100",
            "fax_number": "281-752-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 WESTHEIMER RD STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-752-4100",
            "fax_number": "281-752-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11660 Westheimer Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77077",
            "country_code": "US",
            "telephone_number": "281-752-4100",
            "fax_number": "281-752-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSEGAI",
        "first_name": "BEREKET",
        "middle_name": "HAILEAB",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8180T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.