Active NPI
Justin Robert Douglass, O.D.
- Optometrist
- Spring, TX
National Provider Identifier
1891045019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8011
- Practice address
- 6704 Sterling Ridge Dr
D
Spring, TX 77382-2799 - Phone
- (281) 465-8300
- NPI assigned
- Sep 14, 2012
- Last updated
- Jan 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8011 | TX | Primary |
Addresses
Primary practice location
6704 Sterling Ridge Dr
D
Spring, TX 77382-2799
Mailing address
1340 W Gray St
217
Houston, TX 77019-4059
Phone (281) 682-5209
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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)
10120 Greenhouse Rd
Suite 102
Cypress, TX 77433-7771
Phone (281) 304-2655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, 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": "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": []
}Other providers in Spring, TX
- 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 a Patient Care Clinic)
- Dr Norman Dental and Associates PLLC (Dr Norman DDS and Associates)
Sources for this page
- 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.