Organization Active NPI

Lestavia Duplantier, OD, PA

Doing business as Pearle Vision/Northshore LLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1952597270
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06307T Issued in TX
Legal business name
LESTAVIA DUPLANTIER, OD, PA
Doing business as
Pearle Vision/Northshore LLC
Practice address
5815 E Sam Houston Pkwy N Ste a
Houston, TX 77049-2524
Phone
(281) 459-3700
Fax
(281) 459-9700
NPI assigned
Sep 20, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Lestavia P. Duplantier, O.D.NPI 1316074545
Title
O.D.
Phone
(281) 459-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06307T TX Primary

Addresses

Primary practice location

5815 E Sam Houston Pkwy N Ste a
Houston, TX 77049-2524

Mailing address

5815 E Sam Houston Pkwy N Ste a
Houston, TX 77049-2524
Phone (281) 459-3700

Other names 1

  • PEARLE VISION/NORTHSHORE LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050827000130 TX Part B Supplier - Clinic/Group Practice 5698706802 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6709 FM 1960 Rd E
Atascocita, TX 77346
Phone (281) 359-9920

5815 E Sam Houston Pkwy N
Ste A
Houston, TX 77049
Phone (281) 259-5484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1952597270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 E SAM HOUSTON PKWY N STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492524",
            "telephone_number": "281-459-3700",
            "fax_number": "281-459-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 E SAM HOUSTON PKWY N STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492524",
            "telephone_number": "281-459-3700",
            "fax_number": "281-459-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTAVIA DUPLANTIER, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DUPLANTIER",
        "authorized_official_first_name": "LESTAVIA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "281-459-3700",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06307T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION/NORTHSHORE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.