Avery Jacqueline Platt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10223TG Issued in TX

Practice address

816 Lake Air Dr
Waco, TX 76710-5745

Phone

(254) 752-0471

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Avery Jacqueline Huber Former name

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Eye Associates, PLLCGroup PAC ID 2961625694, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Green Eye Associates, PLLC

  • Optometrist
  • Waco, TX
  • NPI 1063833242
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1851975718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 LAKE AIR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105745",
            "telephone_number": "254-752-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 LAKE AIR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105745",
            "telephone_number": "254-752-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "AVERY",
        "middle_name": "JACQUELINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10223TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "HUBER",
            "middle_name": "JACQUELINE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William R. Pitts, M.D.
• Pittsburg Senior Care, L.L.C.
• Plains ER Management Harco, LTD
• Planned Parenthood of Greater Texas Family Planning & Preventative Hea
• Planned Parenthood of Greater Texas Surgical Health Services
• Wilmaneice Shanta Pleasant
• Robbie Katherine Pledger
• Ginger Christianne Plemmons, M.S., CCC-SLP
• Barbara Plemons
• Kristyn Jaimye Plemons

• Optometrist in Waco, TX
• Providers in Waco, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.