Individual provider Active NPI

Natalia Aksamentov, OD

  • Optometrist
  • Kingwood, TX
National Provider Identifier
1962028399
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10003 Issued in TX
Practice address
25639 Highway 59 N Ste 109
Kingwood, TX 77339-1795
Phone
(832) 810-2020
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10003 TX Primary

Addresses

Primary practice location

25639 Highway 59 N Ste 109
Kingwood, TX 77339-1795

Mailing address

25639 Highway 59 N Ste 109
Kingwood, TX 77339-1795

Other names 1

  • Natasha Aksamentov Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kingwood@tso.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210308001397 TX Practitioner - Optometry 0941616403 Reassigns benefits to 2 organizations
I20250821000770 OK Practitioner - Optometry 0941616403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyesguys LLCGroup PAC ID 1456518745, 5 clinicians

Practice addresses (Care Compare)

16135 N May Ave
Suite a
Edmond, OK 73013-8977
Phone (405) 751-5638

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10003TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tso Richmond Aliana PA Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Eyesguys LLC Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Stillwater Vision Clinic PLLC Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

16135 N May Ave
Ste A
Edmond, OK 73013
Phone (405) 626-5503

2123 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-3724

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

25639 Highway 59 N
Ste 109
Kingwood, TX 77339
Phone (832) 810-2020

10117 W Grand Pkwy S
Ste 101
Richmond, TX 77407
Phone (832) 781-2020

10117 W Grand Pkwy S
Ste 101
Richmond, TX 77407
Phone (832) 781-2020

Organizations & group practices 5

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1962028399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25639 HIGHWAY 59 N STE 109",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25639 HIGHWAY 59 N STE 109",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391795",
            "telephone_number": "832-810-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKSAMENTOV",
        "first_name": "NATALIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kingwood@tso.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25639 Highway 59 N Ste 109",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773391795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "AKSAMENTOV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.