Individual provider Active NPI

Jordan Ramsses Romero, OD

  • Optometrist
  • Livingston, TX
National Provider Identifier
1841864212
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10308TG Issued in TX
Practice address
200 Ogletree Dr
Livingston, TX 77351-6420
Phone
(936) 328-5600
NPI assigned
May 19, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10308TG TX Primary

Addresses

Primary practice location

200 Ogletree Dr
Livingston, TX 77351-6420

Mailing address

18255 River Sage Dr
Houston, TX 77084-2485
Phone (832) 878-6817

Other practice location 1

18255 River Sage Dr
Houston, TX 77084-2485
Phone (832) 878-6817

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
I20210830001508 TX Practitioner - Optometry 4385049352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Sight, PAGroup PAC ID 0345137097, 6 clinicians

Practice addresses (Care Compare)

200 Ogletree Dr
Livingston, TX 77351-6420
Phone (936) 328-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10308TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Sight, PA Optometrist CurrentSince Aug 9, 2021 Accepting new patients
The Center for Sight, PA CurrentSince Aug 9, 2021 Accepting new patients

Locations

200 Ogletree Dr
Livingston, TX 77352
Phone (936) 328-5600

2 Medical Center Blvd
Lufkin, TX 75904
Phone (409) 634-8434

Organizations & group practices 2

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1841864212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18255 RIVER SAGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842485",
            "telephone_number": "832-878-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OGLETREE DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773516420",
            "telephone_number": "936-328-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18255 River Sage Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770842485",
            "country_code": "US",
            "telephone_number": "832-878-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JORDAN",
        "middle_name": "RAMSSES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10308TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.