Individual provider Active NPI

Elizabeth Michelle Baxter Shosa, OD

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1700218948
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8329T Issued in TX
Practice address
9004 Forest Xing
Suite a
The Woodlands, TX 77381-1197
Phone
(281) 364-1981
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8329T TX Primary

Addresses

Primary practice location

9004 Forest Xing
Suite a
The Woodlands, TX 77381-1197

Mailing address

9004 Forest Xing
Suite a
The Woodlands, TX 77381-1197
Phone (281) 364-1981

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
I20131115000125 TX Practitioner - Optometry 6709012024 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
Group practices
Davida a Baxter OD PCGroup PAC ID 9739236175, 3 clinicians

Practice addresses (Care Compare)

9004 Forest Xing
Suite a
The Woodlands, TX 77381-1193
Phone (281) 364-1981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8329TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Davida a Baxter OD PC CurrentSince Oct 29, 2013 Accepting new patients

Locations

9004 Forest Xing
Ste A
The Woodlands, TX 77381
Phone (281) 364-1981

Organizations & group practices 1

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1700218948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "SUITE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811197",
            "telephone_number": "281-364-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "SUITE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811197",
            "telephone_number": "281-364-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOSA",
        "first_name": "ELIZABETH",
        "middle_name": "MICHELLE BAXTER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8329T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.