Individual provider Active NPI

Ambreen Ismail, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1912402637
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35300TLG Issued in CA
Practice address
5202 Natasha Run LN
Houston, TX 77066-3370
Phone
(832) 766-0876
NPI assigned
Mar 26, 2018
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35300TLG CA Primary
Optometrist 152W00000X 9313TG TX

Addresses

Primary practice location

5202 Natasha Run LN
Houston, TX 77066-3370

Mailing address

5202 Natasha Run LN
Houston, TX 77066-3370
Phone (832) 766-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250314002820 CA Practitioner - Optometry 7517489958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35300TLGCAMDOptometrist
9313TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Eye Optometry, Inc Optometrist CurrentSince May 1, 2025 Accepting new patients

Locations

17497 Main St
Hesperia, CA 92345
Phone (760) 948-3345

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1912402637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 NATASHA RUN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663370",
            "telephone_number": "832-766-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 NATASHA RUN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663370",
            "telephone_number": "832-766-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "AMBREEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35300TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9313TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.