Individual provider Active NPI

Neer Hazra, OD

  • Optometrist
  • League City, TX
National Provider Identifier
1922729490
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10630 Issued in TX
Practice address
1615 W League City Pkwy Ste 100
League City, TX 77573-7458
Phone
(281) 729-5303
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10630 TX Primary

Addresses

Primary practice location

1615 W League City Pkwy Ste 100
League City, TX 77573-7458

Mailing address

2008 Cambridge Heights PL
Houston, TX 77045-2112

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
I20230302001021 TX Practitioner - Optometry 3971976515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Vision Care PLLCGroup PAC ID 4183911134, 4 clinicians

Practice addresses (Care Compare)

1615 W League City Pkwy
Suite 100
League City, TX 77573-7458
Phone (281) 554-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10630TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision Care, PLLC Optometrist CurrentSince Nov 19, 2022 Accepting new patients

Locations

1615 W League City Pkwy
Ste 100
League City, TX 77573
Phone (281) 554-7080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1922729490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CAMBRIDGE HEIGHTS PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770452112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W LEAGUE CITY PKWY STE 100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737458",
            "telephone_number": "281-729-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZRA",
        "first_name": "NEER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.