Individual provider Active NPI

Myria Breant Reese, O.D.

  • Optometrist
  • Cypress, TX
National Provider Identifier
1871865584
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7419TG Issued in TX
Practice address
17814 Spring Cypress Rd Ste 105-B
Cypress, TX 77429-1719
Phone
(281) 255-0478
Fax
(281) 255-0478
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7419TG TX Primary

Addresses

Primary practice location

17814 Spring Cypress Rd Ste 105-B
Cypress, TX 77429-1719

Mailing address

17814 Spring Cypress Rd Ste 105-B
Cypress, TX 77429-1719
Phone (281) 255-0478

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
I20140624000620 TX Practitioner - Optometry 6406070937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29110 Hwy 290
Suite 600
Cypress, TX 77433-4683
Phone (281) 255-0478

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7419TGTXMDOptometrist
7419TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Distinct Eye Care, Inc Optometrist CurrentSince Apr 17, 2014 Accepting new patients

Locations

17814 Spring Cypress Rd
Ste 105
Cypress, TX 77429
Phone (281) 255-9365

29110 Highway 290
Ste 600
Cypress, TX 77433
Phone (281) 255-0478

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1871865584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17814 SPRING CYPRESS RD STE 105-B",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291719",
            "telephone_number": "281-255-0478",
            "fax_number": "281-255-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17814 SPRING CYPRESS RD STE 105-B",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291719",
            "telephone_number": "281-255-0478",
            "fax_number": "281-255-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MYRIA",
        "middle_name": "BREANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7419TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.