Amelia Jacobson Holbrook, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3947TG Issued in TX

Practice address

15080 Memorial Dr
Houston, TX 77079-4302

Phone

(281) 531-0300

Fax

(281) 531-0349

NPI assigned

Feb 23, 2006

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Better Vision, PA

  dba Memorial Eye

  • Optometrist
  • Houston, TX
  • NPI 1457327108
  Authorized official Same address or phone
• Memorial Eye, PA

  dba Memorial Eye

  • Optometrist
  • Houston, TX
  • NPI 1548236151
  Authorized official Same address or phone
• Memorial Eye, PA

  dba Memorial Eye

  • Optometrist
  • Houston, TX
  • NPI 1740256510
  Authorized official Same address or phone
• Janet B Ogletree OD PA

  dba Ogletree Eye Care

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Memorial Eye, P.a.

  dba Ship My Contacts

  • Eyewear Supplier
  • Houston, TX
  • NPI 1760625636
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1669448411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 GRAY FALLS DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776525",
            "telephone_number": "281-556-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15080 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794302",
            "telephone_number": "281-531-0300",
            "fax_number": "281-531-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "AMELIA",
        "middle_name": "JACOBSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3947TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300182801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034886-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034886-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Hoke
• Hola RX
• Ashley Nicole Holbein
• Amanda Jean Holben, MS, RD, LD
• Michael Holbert, ACNP-BC
• Courtney Eve Holbrook, LCSW
• Courtney Elizabeth Holbrooke, PA
• Erin Marie Holcomb, PHD
• Holcombe Dental Associates, PA (Holcombe Dental Associates)
• Sara Brynn Holcombe, D.O.

• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.