Individual provider Active NPI

Kerri-Ann Coombs, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1740504968
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7449TG Issued in TX
Practice address
12230 W Lake Houston Pkwy Ste 155
Houston, TX 77044-6450
Phone
(346) 570-5366
Fax
(866) 643-3267
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7449TG TX Primary

Addresses

Primary practice location

12230 W Lake Houston Pkwy Ste 155
Houston, TX 77044-6450

Mailing address

27390 Pendleton Trace Dr
Spring, TX 77386-4267
Phone (281) 630-7994

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
I20110621000047 TX Practitioner - Optometry 9133307275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12230 W Lake Houston Pkwy
Suite 155
Houston, TX 77044-6450
Phone (346) 570-5366

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7449TXMDBehavioral Analyst
7449TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Decordova Eyewear LLC Optometrist CurrentSince Jul 8, 2017 Accepting new patients
Beyond Eye Care PLLC Past Accepting new patients

Locations

12230 W Lake Houston Pkwy
Ste 155
Houston, TX 77044
Phone (281) 763-2006

12230 W Lake Houston Pkwy
Houston, TX 77044
Phone (346) 570-5366

Organizations & group practices 2

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1740504968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27390 PENDLETON TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864267",
            "telephone_number": "281-630-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 W LAKE HOUSTON PKWY STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770446450",
            "telephone_number": "346-570-5366",
            "fax_number": "866-643-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "KERRI-ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7449TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.