Individual provider Active NPI

Sriyuta Thota, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1912909003
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6263TG Issued in TX
Practice address
21502 Merchants Way
Katy, TX 77449-2517
Phone
(281) 579-6777
Fax
(281) 578-6534
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6263TG TX Primary

Addresses

Primary practice location

21502 Merchants Way
Katy, TX 77449-2517

Mailing address

27127 Horizon Bay LN
Katy, TX 77494-7829
Phone (281) 989-3155

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
I20040823001385 TX Practitioner - Optometry 0446224786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

21502 Merchants Way
Suite a
Katy, TX 77449-2515
Phone (281) 579-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6263TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Jul 16, 2025 Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

Locations

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

8731 Katy Fwy
Ste 300
Houston, TX 77024
Phone (713) 424-4824

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

21502 Merchants Way
Katy, TX 77449
Phone (281) 579-6777

21502 Merchants Way
Ste A
Katy, TX 77449
Phone (281) 579-6777

1535 Cullen Blvd
Ste 200
Pearland, TX 77581
Phone (713) 436-1551

1435 Highway 6
Ste 202
Sugar Land, TX 77478
Phone (281) 478-9889

14030 FM 2920 Rd
Ste E
Tomball, TX 77377
Phone (281) 351-0744

Organizations & group practices 2

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1912909003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27127 HORIZON BAY LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947829",
            "telephone_number": "281-989-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21502 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492517",
            "telephone_number": "281-579-6777",
            "fax_number": "281-578-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTA",
        "first_name": "SRIYUTA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6263TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.