Individual provider Active NPI

Deborah A. Evans, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1992791529
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03629TG Issued in TX
Practice address
1631 North Loop W
500
Houston, TX 77008-1528
Phone
(713) 869-6400
Fax
(713) 802-0691
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 03629TG TX Primary

Addresses

Primary practice location

1631 North Loop W
500
Houston, TX 77008-1528

Mailing address

2855 Gramercy St
Houston, TX 77025-1756
Phone (832) 553-7130

Other identifiers 1

IdentifierTypeStateIssuer
093197404MedicaidTX

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
I20050811000043 TX Practitioner - Optometry 9638124811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colony Eye Care Center LLPGroup PAC ID 5597854000, 5 clinicians

Practice addresses (Care Compare)

4511 Sweetwater Blvd
Sugar Land, TX 77479-3010
Phone (281) 265-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03629TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Eye Care Center, LLP Optometrist CurrentSince May 6, 2014 Accepting new patients
Rosner Optometry PLLC Optometrist Past Accepting new patients

Locations

4511 Sweetwater Blvd
Sugar Land, TX 77479
Phone (281) 265-2020

Organizations & group practices 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1992791529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756",
            "telephone_number": "832-553-7130",
            "fax_number": "713-558-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W",
            "address_2": "500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081528",
            "telephone_number": "713-869-6400",
            "fax_number": "713-802-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03629TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093197404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.