Individual provider Active NPI

Paul Douglas Driggers, O.D.

  • Optometrist
  • Magnolia, TX
National Provider Identifier
1801085832
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7528T Issued in TX
Practice address
32858 FM 2978 Rd
Magnolia, TX 77354-6073
Phone
(281) 259-9961
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1550 LA
Optometrist 152W00000X 7528T TX Primary

Addresses

Primary practice location

32858 FM 2978 Rd
Magnolia, TX 77354-6073

Mailing address

18101 Point Lookout Dr Apt 135
Houston, TX 77058-3573
Phone (407) 222-5339

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
I20220805002958 TX Practitioner - Optometry 9638551732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

400 N 15TH St
Corsicana, TX 75110-4514
Phone (903) 229-4141

6725 Delaware St
Beaumont, TX 77706-7655
Phone (409) 832-9151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1550LAMDMental Health Counselor
7528TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Passport Informatics, PLLC CurrentSince Aug 8, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 27, 2025 Accepting new patients
Woodlands Family Vision, PLLC Current Accepting new patients
Southeastern Eye Centers, PLLC Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

32858 FM 2978 Rd
Magnolia, TX 77354
Phone (281) 259-9961

Organizations & group practices 6

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1801085832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 POINT LOOKOUT DR APT 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583573",
            "telephone_number": "407-222-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32858 FM 2978 RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546073",
            "telephone_number": "281-259-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGERS",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1550",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7528T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.