Justin Robert Douglass, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8011 Issued in TX

Practice address

6704 Sterling Ridge Dr
D
Spring, TX 77382-2799

Phone

(281) 465-8300

NPI assigned

Sep 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Precision Family Eyecare PA

  • Optometrist
  • Cypress, TX
  • NPI 1457711475
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1891045019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 W GRAY ST",
            "address_2": "217",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194059",
            "telephone_number": "281-682-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 STERLING RIDGE DR",
            "address_2": "D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822799",
            "telephone_number": "281-465-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolnicte Donis
• Christopher Robert Donnelly
• Lindsay Vicknair Dornier, LCSW
• Jay K Doshi, D.D.S.
• Rachel A Dottin-Poon, DPT
• Jacqueline Allison Dowell, OTR
• Kameron Marie Doyle, RN, CPNP
• Satori Doyle
• Dr a Patient Care PLLC
• Dr Norman Dental and Associates PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.