Individual provider Active NPI

Clarissa Prieto-Ayala, O.D.

  • Optometrist
  • New Caney, TX
National Provider Identifier
1851749667
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9004T Issued in TX
Practice address
20842 US Highway 59 Ste G
New Caney, TX 77357-8352
Phone
(713) 505-0158
NPI assigned
Jun 2, 2016
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9004T TX Primary

Addresses

Primary practice location

20842 US Highway 59 Ste G
New Caney, TX 77357-8352

Mailing address

20842 US Highway 59 Ste G
New Caney, TX 77357-8352
Phone (713) 505-0158

Other practice location 1

149 Hart St Ste 3
Sheppard AFB, TX 76311-3430
Phone (940) 676-6243

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
I20200618000498 TX Practitioner - Optometry 1557783644 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Style Eyewear Associates LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Barbara a Higgins O D P a Optometrist PastSince Aug 23, 2022 Accepting new patients

Locations

12430 State Highway 249
Ste E
Houston, TX 77086
Phone (281) 999-3131

Organizations & group practices 3

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1851749667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20842 US HIGHWAY 59 STE G",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773578352",
            "telephone_number": "713-505-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20842 US HIGHWAY 59 STE G",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773578352",
            "telephone_number": "713-505-0158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Hart St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sheppard AFB",
            "state": "TX",
            "postal_code": "763113430",
            "country_code": "US",
            "telephone_number": "940-676-6243",
            "fax_number": "940-676-4309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIETO-AYALA",
        "first_name": "CLARISSA",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9004T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Caney, TX

Sources for this page

Verify at the official NPI Registry.