Individual provider Active NPI

Deanna Gates, O.D.

  • Optometrist
  • Cypress, TX
National Provider Identifier
1669888533
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5601 TG Issued in TX
Practice address
16818 Jelly Park Stone Dr
Cypress, TX 77429-6025
Phone
(832) 928-4353
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5601 TG TX Primary

Addresses

Primary practice location

16818 Jelly Park Stone Dr
Cypress, TX 77429-6025

Mailing address

16818 Jelly Park Stone Dr
Cypress, TX 77429-6025
Phone (832) 928-4353

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
I20160621000317 TX Practitioner - Optometry 9830480904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Eyecare AssociatesGroup PAC ID 8729004452, 8 clinicians

Practice addresses (Care Compare)

8765 Spring Cypress Rd
Suite N
Spring, TX 77379-3195
Phone (281) 655-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601TXMDBehavioral Analyst
5601 TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Eyecare Associates Optometrist CurrentSince Jan 22, 2026 Accepting new patients
Complete Eyecare PC Optometrist CurrentSince May 14, 2016 Accepting new patients
Champions Eyecare PC Optometrist Past Accepting new patients

Locations

5774 FM 1960 Rd W
Houston, TX 77069
Phone (281) 440-5887

8765 Spring Cypress Rd
Ste N
Spring, TX 77379
Phone (281) 655-9595

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1669888533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16818 JELLY PARK STONE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296025",
            "telephone_number": "832-928-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16818 JELLY PARK STONE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296025",
            "telephone_number": "832-928-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "DEANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5601 TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.