Active NPI
Romea Evanty Mitchell, O.D.
- Optometrist
- Cypress, TX
National Provider Identifier
1720115108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7002T
- Practice address
- 11115 McCracken LN
Suite a
Cypress, TX 77429-4487 - Phone
- (281) 469-7610
- Fax
- (281) 469-7114
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7002T | TX | Primary |
Addresses
Primary practice location
11115 McCracken LN
Suite a
Cypress, TX 77429-4487
Mailing address
PO Box 421719
Houston, TX 77242-1719
Phone (713) 775-0428
Other names 1
- Romea Evanty Harrisbaxter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7002T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1720115108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421719",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772421719",
"telephone_number": "713-775-0428",
"fax_number": "281-469-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11115 MCCRACKEN LN",
"address_2": "SUITE A",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294487",
"telephone_number": "281-469-7610",
"fax_number": "281-469-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ROMEA",
"middle_name": "EVANTY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7002T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROMEA",
"last_name": "HARRISBAXTER",
"middle_name": "EVANTY",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.