Individual provider Active NPI

Davida A Baxter, O.D.

  • Corneal and Contact Management Optometrist
  • The Woodlands, TX
National Provider Identifier
1962579599
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2687TG Issued in TX
Practice address
9004 Forest Xing
Ste a
The Woodlands, TX 77381-1193
Phone
(281) 364-1981
Fax
(281) 296-2490
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2687TG TX Primary

Addresses

Primary practice location

9004 Forest Xing
Ste a
The Woodlands, TX 77381-1193

Mailing address

9004 Forest Xing
Ste a
The Woodlands, TX 77381-1193
Phone (281) 364-1981

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
I20040707001275 TX Practitioner - Optometry 9931187937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davida a Baxter OD PCGroup PAC ID 9739236175, 3 clinicians

Practice addresses (Care Compare)

9004 Forest Xing
Suite a
The Woodlands, TX 77381-1193
Phone (281) 364-1981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2687TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Davida a Baxter OD PC Corneal and Contact Management CurrentSince Jul 26, 2008 Accepting new patients

Locations

9004 Forest Xing
Ste A
The Woodlands, TX 77381
Phone (281) 364-1981

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1962579599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "STE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811193",
            "telephone_number": "281-364-1981",
            "fax_number": "281-296-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "STE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811193",
            "telephone_number": "281-364-1981",
            "fax_number": "281-296-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "DAVIDA",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2687TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.