DR. JERSON DESIDERIO (NPI# 1770023434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770023434 |
| Entity Type | Individual |
| Full Name | DR. JERSON DESIDERIO |
| Credential | O.D. |
| Practice Address |
3811 Lyons Ave Houston TX 77020-8306 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 8866T | TX | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6815 Southwest Fwy, Houston, TX 770742103 | 7139523937 |
| Street Address |
3811 LYONS AVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77020-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356441844 | Funmilayo A Macaulay | Obstetrics & Gynecology | 3811 Lyons Ave, Houston, TX 77020-8306 | 2006-09-24 |
| 1548882459 | Denisha L Prim | Case Manager/Care Coordinator | 3811 Lyons Ave, Houston, TX 77020-8306 | 2020-05-13 |
| 1558862391 | Dianna Jocelyn Gonzalez | Dietitian, Registered | 3811 Lyons Ave, Houston, TX 77020-8306 | 2018-02-27 |
| 1497101356 | Christelle Marie Hernandez | Nurse Practitioner | 3811 Lyons Ave, Houston, TX 77020 | 2016-05-10 |
| 1033578794 | Meganne Renee Duke | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2016-02-23 |
| 1689080830 | Sharon Ballestero | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2014-07-09 |
| 1912290693 | Legacy Community Health Services, Inc | Clinic/Center | 3811 Lyons Ave, Houston, TX 77020-4730 | 2011-05-27 |
| 1417194887 | Zuleika Goss Pierson | Obstetrics & Gynecology | 3811 Lyons Ave, Houston, TX 77020-8306 | 2009-01-07 |
| 1760675680 | Purva Thakore Lad | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2007-08-23 |
| 1720288053 | Alfred Boyce Wettermark IIi | Family Medicine | 3811 Lyons Ave, Houston, TX 77020-8306 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154847515 | Legacy Community Health Services | Pharmacy | 3811 Lyons Avenue, Suite 114, Houston, TX 77020 | 2017-08-17 |
| 1154626000 | Tatum Martin | Case Manager/Care Coordinator | 4409 Rawley St., Houston, TX 77020 | 2011-01-24 |
| 1578891610 | Sunday E. Dike | Pharmacist | 1515 Lockwood Drive, Walgreens Store 2686, Houston, TX 77020 | 2009-12-01 |
| 1386877116 | Mitchel Jay Abramsky | General Practice | 5605 Lyons Ave, Lyons Avenue Health Center, Houston, TX 77020 | 2009-08-27 |
| 1649420589 | Doan Thuy Do | Family Medicine | 464 Hahlo, Houston, TX 77020 | 2008-09-29 |
| 1770655193 | Hiep Nguyen | Dentist | 723 A Shotwell Street, Houston, TX 77020 | 2006-11-14 |
| 1790798288 | Roberto Cesar Garcia | Dentist | 6909 Lyons Ave, Houston, TX 77020 | 2006-08-14 |
| 1194733030 | Samuel Nmi Gold | Optometrist | 711 Shotwell, Houston, TX 77020 | 2006-08-04 |
| 1093780280 | Houston Community Health Centers Inc | Clinic/Center | 424b Hahlo Street, Houston, TX 77020 | 2006-02-21 |
| 1013415298 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5602 Lyons Ave, Houston, TX 77020 | 2018-01-23 |
| Find all providers in zip 77020 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425743 | Lara Fady | Optometrist | 13614 Meridian Springs Ln, Houston, TX 77077-2123 | 2020-10-24 |
| 1699374538 | Daniel Max & Marc Andrea LLC | Optometrist | 1051 Silber Rd, Houston, TX 77055-7134 | 2020-10-21 |
| 1518572122 | Memorial 2020 Pllc | Optometrist | 12512 Memorial Dr Ste A, Houston, TX 77024-6008 | 2020-09-10 |
| 1053926956 | National Vision Inc | Optometrist | 5807 E Sam Houston Pkwy N Ste B, Houston, TX 77049-2501 | 2020-09-09 |
| 1205440641 | Rachel J Rippey Od Pa | Optometrist | 5800 Bellaire Blvd Ste 112a, Houston, TX 77081-5537 | 2020-09-02 |
| 1073124913 | Carlos A Calvo | Optometrist | 2727 Revere St Apt 1046, Houston, TX 77098-1342 | 2020-08-13 |
| 1073124996 | Eye Law Vu Pllc | Optometrist | 2401 N Shepherd Dr Ste 110, Houston, TX 77008-1957 | 2020-08-13 |
| 1831700335 | Amir Karbaschi Pllc | Optometrist | 4191 Bellaire Blvd Ste 100, Houston, TX 77025-1003 | 2020-08-10 |
| 1518576982 | Kaylie Alina A Young | Optometrist | 1020 Willowbrook Mall Ste 1020, Houston, TX 77070-5788 | 2020-07-30 |
| 1841809787 | Jennifer Pham | Optometrist | 10013 Almeda Genoa Rd Ste G, Houston, TX 77075-2445 | 2020-07-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.