Deanna J Powell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8320T Issued in TX

Practice address

1228 US 377
Roanoke, TX 76262-7280

Phone

(904) 584-2230

Fax

(913) 254-9613

NPI assigned

Apr 11, 2006

Last updated

Oct 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haslet Family Eyecare, PLLCGroup PAC ID 6507379039, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Haslet Family Eyecare, PLLC

  • Optometrist
  • Haslet, TX
  • NPI 1134921190
  Medicare reassignment Care Compare group NPD
• 20/20 Eye Care, LLC

  • Optometrist
  • Lenexa, KS
  • NPI 1255364725
  NPD (past) Authorized official
• Powell Vision Care

  • Optometrist
  • Overland Park, KS
  • NPI 1477586915
  NPD (past) Authorized official
• Wise Clinical Care Associates

  • Family Medicine Physician
  • Bridgeport, TX
  • NPI 1679719801
  NPD
• Saginaw Family Eyecare, PLLC

  • Optometrist
  • Saginaw, TX
  • NPI 1265106280
  NPD (past)
• Texas Eye Physicians PA

  • Ophthalmology Physician
  • Arlington, TX
  • NPI 1154458966
  NPD (past)
• Gregor Eye Care, PA

  • Optometrist
  • Overland Park, KS
  • NPI 1649435710
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1710940564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12934 GRANDSTAND WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447280",
            "telephone_number": "904-584-2230",
            "fax_number": "913-254-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 US 377",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762627280",
            "telephone_number": "904-584-2230",
            "fax_number": "913-254-9613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9549 Sage Meadow Trl",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778595",
            "country_code": "US",
            "telephone_number": "817-741-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DEANNA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8320T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "20338479866220A002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7038483",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM NETWORK",
            "identifier": "203384798",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KC",
            "identifier": "31795041",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "20-3384798",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Ed Parkey, MD
• Aly Partridge
• Courtney Peebles, FNP-C
• Lily Phung, PHARM.D.
• Lynn M Poston, LMSW
• Shannon R Presley
• Pride Home Health Care LLC
• Professional Dental Alliance of TX 43003 PLLC
• Psychology Care Associates PLLC
• Q. D. Nguyen PLLC

• Optometrist in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.