Active NPI
Casey Dawn Outlaw, OD
- Optometrist
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9419T
- Practice address
- 400 S Loop 336 W
Conroe, TX 77304-3302 - Phone
- (936) 539-4500
- Fax
- (936) 539-4050
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9419T | TX | Primary |
Addresses
Primary practice location
400 S Loop 336 W
Conroe, TX 77304-3302
Mailing address
100 Detering St Apt 2134
Houston, TX 77007-1384
Other practice location 1
14700 Fm 2100 Rd Ste 3
Crosby, TX 77532-9162
Phone (281) 328-2020
Other practice location 2
3361 Montgomery Rd
Huntsville, TX 77340-6416
Phone (936) 539-4500
Other practice location 3
129 Vision Park Blvd Ste 110
Shenandoah, TX 77384-3024
Phone (936) 539-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433634901 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 S Loop 336
Conroe, TX 77304-3302
Phone (936) 539-4500
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 95.33
- Improvement activities
- 40
- Cost
- 74.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9419 | TX | MD | General Practice Dentistry |
| 9419T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dejean & Kuglen Eye Associates, LLP | Current | Accepting new patients | |
| Dejean & Kuglen Eye Associates LLP | Current | Accepting new patients |
Locations
400 S Loop 336 W
Conroe, TX 77304
Phone (406) 539-4500
3361 Montgomery Rd
Huntsville, TX 77340
Phone (936) 539-4500
129 Vision Park Blvd
Ste 110
Shenandoah, TX 77384
Phone (936) 539-4500
Interoperability endpoints
- coutlaw@averyeye.emadirect.md
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.
-
- Ophthalmology Physician
- Conroe, TX
- NPI 1952322067
-
- Durable Medical Equipment & Medical Supplies
- Huntsville, TX
- NPI 1003523887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1689169849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DETERING ST APT 2134",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770071384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043302",
"telephone_number": "936-539-4500",
"fax_number": "936-539-4050"
}
],
"practiceLocations": [
{
"address_1": "14700 Fm 2100 Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Crosby",
"state": "TX",
"postal_code": "775329162",
"country_code": "US",
"telephone_number": "281-328-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3361 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "TX",
"postal_code": "773406416",
"country_code": "US",
"telephone_number": "936-539-4500",
"fax_number": "936-539-4050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 Vision Park Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773843024",
"country_code": "US",
"telephone_number": "936-539-4500",
"fax_number": "936-539-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OUTLAW",
"first_name": "CASEY",
"middle_name": "DAWN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9419T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433634901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.