DR. SOPHIA W. BARNES O.D.
NPI 1083726343
Optometrist in Houston, TX

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
5000 WESTHEIMER RD, SUITE 590, HOUSTON, TX 77056(713) 623-2000(713) 623-2007 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sophia W. Barnes O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOPHIA W. BARNES O.D. (NPI 1083726343) is an individual optometrist in Houston, Texas, licensed in Texas (3314TG) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1984).

NPPES Registry Identity

NPI1083726343
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SOPHIA W. BARNESCredential: O.D.
Location Address5000 WESTHEIMER RD, SUITE 590Houston, TX 77056-5613
Mailing Address4725 Westheimer Rd Ste 590Houston, TX 77027-4717 · (713) 623-2000 · Fax (713) 623-2007
Fax(713) 623-2007
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1984
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 22, 2019
NPI 1083726343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TX · 3314TG
Definition

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 3314TG (TX)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 3314TG (TX)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 3314TG (TX)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 3314TG (TX)
5000 WESTHEIMER RD, Houston, TX 77056

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sophia W. Barnes O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234182890
PECOS Enrollment IDI20050224000083
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
34 services33 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5000 WESTHEIMER RD, SUITE 630
HOUSTON, TX 77056
Optometrist
5000 WESTHEIMER RD
HOUSTON, TX 77056
Optometrist
5000 WESTHEIMER RD
HOUSTON, TX 77056

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 Sophia Barnes's NPI number?

The NPI number for Sophia Barnes is 1083726343. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sophia Barnes located?

Sophia Barnes practices at 5000 Westheimer Rd Suite 590, Houston, TX 77056. The listed phone number is (713) 623-2000.

What is Sophia Barnes's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sophia Barnes enrolled in Medicare?

Yes. Sophia Barnes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sophia Barnes accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sophia Barnes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophia Barnes was last updated on April 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.