Individual provider Active NPI

Haseeb Ayube Bacchus, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1700436417
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9861TG Issued in TX
Practice address
2454C Cypress Creek Pkwy
Houston, TX 77068-3720
Phone
(281) 537-2020
NPI assigned
Sep 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9861TG TX Primary

Addresses

Primary practice location

2454C Cypress Creek Pkwy
Houston, TX 77068-3720

Mailing address

2454 Cypress Creek Pkwy
Houston, TX 77068-3720
Phone (281) 537-2020

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
I20221102000676 TX Practitioner - Optometry 8022485192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Eye CareGroup PAC ID 1456334788, 2 clinicians

Practice addresses (Care Compare)

2454 Cypres Creek Pkwy
Houston, TX 77068-3720
Phone (281) 537-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Eye Care Professional Corp Optometrist CurrentSince Mar 11, 2025 Accepting new patients
Preferred Eye Care Optometrist CurrentSince Apr 29, 2025 Accepting new patients

Locations

2454 Cypress Creek Pkwy
#C
Houston, TX 77068
Phone (281) 537-2020

2454 FM 1960 Rd W
Houston, TX 77068
Phone (281) 537-2020

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, 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": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1700436417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 CYPRESS CREEK PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683720",
            "telephone_number": "281-537-2020",
            "fax_number": "281-688-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454C CYPRESS CREEK PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683720",
            "telephone_number": "281-537-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "HASEEB",
        "middle_name": "AYUBE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-14",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9861TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.