Individual provider Active NPI

Kathryn Hengst, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1962790949
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7768 Issued in TX
Practice address
1140 Eldridge Pkwy
Suite 120
Houston, TX 77077-2543
Phone
(281) 759-3937
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7768 TX Primary

Addresses

Primary practice location

1140 Eldridge Pkwy
Suite 120
Houston, TX 77077-2543

Mailing address

1140 Eldridge Pkwy
Suite 120
Houston, TX 77077-2543
Phone (281) 759-3937

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
I20120621000628 TX Practitioner - Optometry 4284898370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Enclave Vision Associates PLLCGroup PAC ID 8426212671, 2 clinicians

Practice addresses (Care Compare)

1140 Eldridge Pkwy
Suite 120
Houston, TX 77077-2544
Phone (281) 759-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7768TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Enclave Vision Associates PLLC Optometrist CurrentSince Mar 16, 2012 Accepting new patients

Locations

1140 Eldridge Pkwy
Ste 120
Houston, TX 77077
Phone (281) 759-3937

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1962790949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ELDRIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772543",
            "telephone_number": "281-759-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ELDRIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772543",
            "telephone_number": "281-759-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENGST",
        "first_name": "KATHRYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.