Individual provider Active NPI

Jason Alan Prescott, O.D.

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1831218171
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6974T Issued in TX
Practice address
16535 Southwest Fwy
790
Sugar Land, TX 77479-2321
Phone
(281) 491-2030
Fax
(281) 491-2050
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 6974T TX Primary

Addresses

Primary practice location

16535 Southwest Fwy
790
Sugar Land, TX 77479-2321

Mailing address

16535 Southwest Fwy
790
Sugar Land, TX 77479-2321
Phone (281) 491-2030

Other identifiers 1

IdentifierTypeStateIssuer
212079201MedicaidTX

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
I20100525000205 TX Practitioner - Optometry 9638208986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leander Eye Care PCGroup PAC ID 0042349391, 5 clinicians
Colony Vision Center PCGroup PAC ID 7012131246, 2 clinicians

Practice addresses (Care Compare)

107 Sheila Dr
Leander, TX 78641-1419
Phone (512) 259-8484

3805 Main St
Suite 104
The Colony, TX 75056-2853
Phone (972) 625-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6974TXMDBehavioral Analyst
6974TTXMDOptometrist
2227AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leander Eye Care PC Optometrist CurrentSince Jan 4, 2010 Accepting new patients
Colony Vision Center PC Optometrist CurrentSince Feb 16, 2014 Accepting new patients
Gary T. Cloud, OD PC Optometrist Past Accepting new patients
Vision Center of Texas, PA Past Accepting new patients

Locations

107 Sheila Dr
Leander, TX 78641
Phone (512) 259-8484

1395 S Highway 183
Ste 130
Leander, TX 78641
Phone (512) 259-8484

3805 Main St
Ste 104
The Colony, TX 75056
Phone (972) 625-2020

Organizations & group practices 4

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1831218171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16535 SOUTHWEST FWY",
            "address_2": "790",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792321",
            "telephone_number": "281-491-2030",
            "fax_number": "281-491-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16535 SOUTHWEST FWY",
            "address_2": "790",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792321",
            "telephone_number": "281-491-2030",
            "fax_number": "281-491-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6974T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212079201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.