Individual provider Active NPI

Caroline Wells, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1700218583
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8294T Issued in TX
Practice address
1350 Fry Rd
Houston, TX 77084-5809
Phone
(281) 828-2020
Fax
(281) 828-2022
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8294T TX Primary

Addresses

Primary practice location

1350 Fry Rd
Houston, TX 77084-5809

Mailing address

1350 Fry Rd
Houston, TX 77084-5809
Phone (281) 828-2020

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
I20160627001575 TX Practitioner - Optometry 1456642263 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)

2830 Commercial Ctr Blvd
Suite 103
Katy, TX 77494-6406
Phone (281) 828-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8294TXMDBehavioral Analyst
8294TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C.E. Wells Care, LLC Optometrist CurrentSince May 4, 2016 Accepting new patients
D G Blair Jr Optometrist Past Accepting new patients

Locations

1350 Fry Rd
Houston, TX 77084
Phone (281) 828-2020

2830 Commercial Center Blvd
Ste 103
Katy, TX 77494
Phone (281) 828-2020

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1700218583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 FRY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845809",
            "telephone_number": "281-828-2020",
            "fax_number": "281-828-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 FRY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845809",
            "telephone_number": "281-828-2020",
            "fax_number": "281-828-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8294T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.