Individual provider Active NPI

Ashitha Elizabeth Mathew, OD

  • Optometrist
  • Livingston, TX
National Provider Identifier
1750055059
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10228T Issued in TX
Practice address
1601 Highway 59 Loop N Ste 100
Livingston, TX 77351-6687
Phone
(936) 327-3937
NPI assigned
Aug 2, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10228T TX Primary

Addresses

Primary practice location

1601 Highway 59 Loop N Ste 100
Livingston, TX 77351-6687

Mailing address

PO Box 4615
Houston, TX 77210-4615
Phone (713) 275-2457

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
I20210818000262 TX Practitioner - Optometry 7113322975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

429 W Southline
Suite 200
Cleveland, TX 77327-5016
Phone (281) 592-4343

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10228TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center Optometrist CurrentSince Aug 5, 2021 Accepting new patients
Mann Eye Center, PA Optometrist CurrentSince Aug 5, 2021 Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Mann Eye Center, PA Optometrist Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

429 W Southline St
Ste 200
Cleveland, TX 77327
Phone (281) 592-4343

1204 N Travis St
Liberty, TX 77575
Phone (936) 336-2100

1601 Highway 59 Loop N
Ste 100
Livingston, TX 77352
Phone (936) 327-3937

Interoperability endpoints

  • Direct secure messaging: amathew@manneye.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1750055059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4615",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104615",
            "telephone_number": "713-275-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 59 LOOP N STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516687",
            "telephone_number": "936-327-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ASHITHA",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10228T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.