Individual provider Active NPI

Azmina Momin, O.D.

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1750395307
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5585TG Issued in TX
Practice address
11579 S Highway 6
Sugar Land, TX 77478-4932
Phone
(281) 565-3937
NPI assigned
Jul 28, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5585TG TX Primary

Addresses

Primary practice location

11579 S Highway 6
Sugar Land, TX 77478-4932

Mailing address

11579 S Highway 6
Sugar Land, TX 77498-4932
Phone (281) 565-3937

Other identifiers 2

IdentifierTypeStateIssuer
81024QOtherTXBLUE CROSS BLUE SHIELD
155529401MedicaidTX

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
I20041206000573 TX Practitioner - Optometry 6507822426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11579S Hwy 6
Sugar Land, TX 77498-4932
Phone (281) 565-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5585TXMDChiropractor
5585TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes for U, Inc. CurrentSince Jun 20, 2001 Accepting new patients

Locations

11579 S Highway 6
Sugar Land, TX 77498
Phone (281) 565-3937

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, 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1750395307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11579 S HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984932",
            "telephone_number": "281-565-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11579 S HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784932",
            "telephone_number": "281-565-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "AZMINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5585TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81024Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155529401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.