Individual provider Active NPI

Leena Ajjour, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1902479421
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10264TG Issued in TX
Practice address
5135 W Alabama St Ste 5410
Houston, TX 77056-5814
Phone
(713) 963-0021
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10264T TX
Optometrist 152W00000X 10264TG TX Primary

Addresses

Primary practice location

5135 W Alabama St Ste 5410
Houston, TX 77056-5814

Mailing address

5135 W Alabama St Ste 5410
Houston, TX 77056-5814
Phone (713) 963-0021

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
I20210903000912 TX Practitioner - Optometry 7012313794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Txo 2 0 PLLCGroup PAC ID 5991123168, 3 clinicians

Practice addresses (Care Compare)

6224 Camp Bowie Blvd
Ft Worth, TX 76116-5525
Phone (817) 761-1726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10264TTXMDOptometrist
10264TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Txo 2 0 PLLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
FD&I Group, LLC Optometrist CurrentSince Jun 20, 2023 Accepting new patients
Jerry S. Jacobs, O.D., P.C. Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Futureyes, Inc Optometrist PastSince Jun 20, 2023 Accepting new patients

Locations

400 S Zang Blvd
Ste 804
Dallas, TX 75208
Phone (214) 941-8923

400 S Zang Blvd
Ste 101
Dallas, TX 75208

1201 Elm St
Ste LL20
Dallas, TX 75270
Phone (214) 651-1000

6224 Camp Bowie Blvd
Ft Worth, TX 76116
Phone (817) 434-6281

1443 S Mason Rd
Ste A
Katy, TX 77450
Phone (281) 693-1616

1540 S Mason Rd
Ste C
Katy, TX 77450
Phone (281) 693-1616

Organizations & group practices 4

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1902479421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 W ALABAMA ST STE 5410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565814",
            "telephone_number": "713-963-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 W ALABAMA ST STE 5410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565814",
            "telephone_number": "713-963-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJJOUR",
        "first_name": "LEENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10264T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10264TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.