Individual provider Active NPI

Ananya Sen Gupta, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1811584402
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9978 Issued in TX
Practice address
4850 Main St
Houston, TX 77002-9718
Phone
(713) 523-5109
Fax
(713) 523-1633
NPI assigned
Dec 29, 2020
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9978 TX Primary
Vision Therapy Optometrist 152WV0400X 9978TG TX

Addresses

Primary practice location

4850 Main St
Houston, TX 77002-9718

Mailing address

1000 Main St Ste T10
Houston, TX 77002-6345
Phone (713) 658-8301

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
I20210526002824 TX Practitioner - Optometry 5597164434 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9978TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutionary Eye Care CurrentSince Dec 1, 2022 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Today's Vision Bay Area, PC Optometrist PastSince Dec 1, 2022 Accepting new patients

Locations

1000 Main St
Ste T10
Houston, TX 77002
Phone (713) 658-8301

365 Greens Rd
Houston, TX 77060
Phone (281) 875-6800

4400 North Fwy
Ste B300
Houston, TX 77022
Phone (713) 697-2081

4850 Main St
Houston, TX 77002
Phone (713) 523-5109

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

805 Walker St
Houston, TX 77002
Phone (713) 654-0042

9950 Katy Fwy
Ste A
Houston, TX 77055
Phone (713) 334-2020

1245 Fry Rd
Ste A
Katy, TX 77449
Phone (713) 752-2020

4011 FM 1463 Rd
Katy, TX 77494
Phone (281) 644-2020

3405 Spencer Hwy
Pasadena, TX 77504
Phone (713) 946-9300

19875 Southwest Fwy
Ste 180
Sugar Land, TX 77479
Phone (281) 545-4901

19335 Gulf Fwy
Ste 6
Webster, TX 77598
Phone (281) 338-1919

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1811584402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAIN ST STE T10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026345",
            "telephone_number": "713-658-8301",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029718",
            "telephone_number": "713-523-5109",
            "fax_number": "713-523-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEN GUPTA",
        "first_name": "ANANYA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9978",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "9978TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.