MINI JOHN OD PLLC
NPI 1043522816
Optometrist in Missouri City, TX
About Mini John Od Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINI JOHN OD PLLC (NPI 1043522816) is a healthcare organization registered as an optometrist in Missouri City, Texas and active in the NPI registry since July 2010. The organization lists Mini John, Owner/od, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mini John Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mini John Od PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mini John Od PLLC's NPI number?
The NPI number for Mini John Od PLLC is 1043522816. It was assigned to this organization in the NPPES registry on July 9, 2010.
Where is Mini John Od PLLC located?
Mini John Od PLLC is located at 2755 Texas Pkwy, Missouri City, TX 77489. The listed phone number is (281) 300-2109.
What is Mini John Od PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mini John Od PLLC enrolled in Medicare?
Yes. Mini John Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mini John Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mini John Od PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mini John Od PLLC was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mini John Od Pllc · NPI 1043522816
Optometrist organization in Missouri City, Texas. Organization record, active in the CMS NPPES registry since July 9, 2010.
## Identity
- **NPI:** 1043522816 (Entity type: Organization)
- **Enumerated:** July 9, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Mini John, OWNER/OD
## Practice location
- **Address:** 2755 TEXAS PKWY, Missouri City, TX 77489-5105
- **Phone:** (281) 300-2109 · **Fax:** (713) 995-0548
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2012
- **Other identifiers:** Medicare PIN TXB110023 (TX); Other 6184TG (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1043522816) · Data from the CMS NPPES public registry.