Individual provider Active NPI

Colton Houlette, OD

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1720760713
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10972 Issued in TX
Practice address
826 Martin Rd
Amarillo, TX 79107-6814
Phone
(806) 373-4977
NPI assigned
Aug 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 10972 TX Primary

Addresses

Primary practice location

826 Martin Rd
Amarillo, TX 79107-6814

Mailing address

826 Martin Rd
Amarillo, TX 79107-6814
Phone (806) 373-4977

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
I20230921001126 TX Practitioner - Optometry 8325492507 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
Martin Road Eye Care IncGroup PAC ID 0143494567, 3 clinicians

Practice addresses (Care Compare)

826 Martin Rd
Amarillo, TX 79107-6814
Phone 8063734977108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10972TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Road Eye Care Inc Optometrist CurrentSince Sep 4, 2023 Accepting new patients

Locations

826 Martin Rd
Amarillo, TX 79107
Phone (806) 373-0502

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1720760713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MARTIN RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791076814",
            "telephone_number": "806-373-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MARTIN RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791076814",
            "telephone_number": "806-373-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULETTE",
        "first_name": "COLTON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.