Individual provider Active NPI

Farah Azim Nasser, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1770769812
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7158 T Issued in TX
Practice address
9555 S Post Oak Rd
Houston, TX 77096-4339
Phone
(786) 877-2663
NPI assigned
Jan 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7158 T TX Primary

Addresses

Primary practice location

9555 S Post Oak Rd
Houston, TX 77096-4339

Mailing address

17282 Tomball Pkwy
Houston, TX 77064-1106
Phone (786) 877-2663

Other identifiers 1

IdentifierTypeStateIssuer
90155822OtherTXDPS

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
I20250724000986 TX Practitioner - Optometry 5193990596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7158 TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eleven11 Services, PLLC Optometrist CurrentSince May 16, 2025 Accepting new patients

Locations

9555 S Post Oak Rd
Houston, TX 77096
Phone (713) 551-9154

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": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1770769812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17282 TOMBALL PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641106",
            "telephone_number": "786-877-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964339",
            "telephone_number": "786-877-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "FARAH",
        "middle_name": "AZIM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-19",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7158 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "90155822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.