Individual provider Active NPI

Rosanna M. Pun, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1710169669
Registry record updated Apr 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5787 Issued in TX
Practice address
9889 Bellaire Blvd Ste 313
Houston, TX 77036-3468
Phone
(713) 271-6898
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5787 TX Primary

Addresses

Primary practice location

9889 Bellaire Blvd Ste 313
Houston, TX 77036-3468

Mailing address

9889 Bellaire Blvd Ste 313
Houston, TX 77036-3468
Phone (713) 271-6898

Other identifiers 3

IdentifierTypeStateIssuer
00Y402OtherMEDICARE PTAN
149833901MedicaidTX
8AJ003OtherTXBLUE CROSS BLUE SHIELD

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
I20080211000729 TX Practitioner - Optometry 3476636648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9889 Bellaire Blvd
Suite 313
Houston, TX 77036-3468
Phone (713) 271-6898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosanna Man Nar Pun OD PC Optometrist CurrentSince Dec 1, 2007 Accepting new patients

Locations

9889 Bellaire Blvd
Ste 313
Houston, TX 77036
Phone (713) 271-6898

12300 Southwest Fwy
Stafford, TX 77477
Phone (281) 295-2512

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334448000000",
    "number": "1710169669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 BELLAIRE BLVD STE 313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363468",
            "telephone_number": "713-271-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 BELLAIRE BLVD STE 313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363468",
            "telephone_number": "713-271-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUN",
        "first_name": "ROSANNA",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2012-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00Y402",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149833901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AJ003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.