Individual provider Active NPI

Joe Wesley Deloach, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1700840964
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2828TG Issued in TX
Practice address
505 J Davis Armistead BLDG
Houston, TX 77204-2020
Phone
(713) 743-1921
Fax
(713) 743-0963
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 2828TG TX Primary

Addresses

Primary practice location

505 J Davis Armistead BLDG
Houston, TX 77204-2020

Mailing address

2525 Lucas Dr
Dallas, TX 75219-1804
Phone (214) 528-7354

Other identifiers 2

IdentifierTypeStateIssuer
112409105MedicaidTX
127237908MedicaidTX

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
I20050923000645 TX Practitioner - Optometry 0143254649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plano Eye Associates PCGroup PAC ID 3072575349, 8 clinicians

Practice addresses (Care Compare)

5900 Coit Rd
Plano, TX 75023-5959
Phone (972) 985-1412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2828TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston CurrentSince Sep 1, 2004 Accepting new patients
University of Houston System Optometrist CurrentSince Sep 1, 2004 Accepting new patients
Plano Eye Associates PC Optometrist CurrentSince Oct 1, 2001 Accepting new patients
University of Houston System Optometrist Current Accepting new patients
Uh Eye Care Optometrist Past Accepting new patients

Locations

2525 Lucas Dr
Dallas, TX 75219
Phone (214) 528-1354

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

505 J Davis Armistead Bldg
Houston, TX 77204
Phone (713) 743-1921

5900 Coit Rd
Plano, TX 75023
Phone (972) 985-1412

Interoperability endpoints

  • Direct secure messaging: joe.deloach1@uprisedirect.com
  • Direct secure messaging: joe.deloach@uprisedirect.com

Organizations & group practices 5

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1700840964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 LUCAS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191804",
            "telephone_number": "214-528-7354",
            "fax_number": "214-528-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 J DAVIS ARMISTEAD BLDG",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772042020",
            "telephone_number": "713-743-1921",
            "fax_number": "713-743-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "JOE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2828TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112409105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127237908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.