Individual provider Active NPI

Ruba Amad, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1659627859
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8002TG Issued in TX
Practice address
27252 Katy Fwy Ste 300
Katy, TX 77494-1003
Phone
(832) 743-0500
Fax
(832) 743-0501
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8002TG TX Primary

Addresses

Primary practice location

27252 Katy Fwy Ste 300
Katy, TX 77494-1003

Mailing address

27252 Katy Fwy Ste 300
Katy, TX 77494-1003
Phone (832) 743-0500

Other practice location 1

3450 Fm 1960 Rd W
Houston, TX 77068-3606
Phone (281) 537-0404

Other practice location 2

13615 Bellaire Blvd
Houston, TX 77083-1714
Phone (281) 933-3446

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
I20140730000860 TX Practitioner - Optometry 5092931980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyediology Eye Care, PLLCGroup PAC ID 8628493467, 2 clinicians

Practice addresses (Care Compare)

27252 Katy Fwy
Suite 300
Katy, TX 77494-1003
Phone (832) 743-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8002TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Wick OD PHD PA Optometrist CurrentSince Jun 17, 2014 Accepting new patients
Eyediology Eye Care, PLLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

13615 Bellaire Blvd
Houston, TX 77083
Phone (281) 933-3446

27252 Katy Fwy
Ste 300
Katy, TX 77494
Phone (832) 743-0500

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1659627859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27252 KATY FWY STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941003",
            "telephone_number": "832-743-0500",
            "fax_number": "832-743-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27252 KATY FWY STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941003",
            "telephone_number": "832-743-0500",
            "fax_number": "832-743-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Fm 1960 Rd W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770683606",
            "country_code": "US",
            "telephone_number": "281-537-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13615 Bellaire Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770831714",
            "country_code": "US",
            "telephone_number": "281-933-3446",
            "fax_number": "281-933-6865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAD",
        "first_name": "RUBA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8002TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.