Individual provider Active NPI

Jane Elizabeth De Grasse, O.D.

  • Optometrist
  • Benbrook, TX
National Provider Identifier
1851372155
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5514TG Issued in TX
Practice address
300 Mercedes St
Benbrook, TX 76126-2593
Phone
(817) 249-4078
Fax
(817) 249-4094
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5514TG TX Primary

Addresses

Primary practice location

300 Mercedes St
Benbrook, TX 76126-2593

Mailing address

300 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 249-4078

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
I20050801000658 TX Practitioner - Optometry 0749232320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr de Grasse and Associates PAGroup PAC ID 5294787875, 4 clinicians

Practice addresses (Care Compare)

300 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 249-4078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5514TXMDChiropractor
5514TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. de Grasse & Associates, P.a. Optometrist CurrentSince May 21, 2001 Accepting new patients

Locations

300 Mercedes St
Benbrook, TX 76126
Phone (817) 249-4078

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1851372155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262593",
            "telephone_number": "817-249-4078",
            "fax_number": "817-249-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262593",
            "telephone_number": "817-249-4078",
            "fax_number": "817-249-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GRASSE",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5514TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.