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DR. MINI JOHN O.D.
NPI 1215902200
Optometrist in Missouri City, TX

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
2755 TEXAS PKWY STE 104, MISSOURI CITY, TX 77489(281) 416-7077 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mini John O.d. NPPES

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

DR. MINI JOHN O.D. (NPI 1215902200) is an individual optometrist in Missouri City, Texas, licensed in Texas (06184TG) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215902200
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MINI JOHNCredential: O.D.
Location Address2755 TEXAS PKWY STE 104Missouri City, TX 77489-5114
Mailing Address3102 Longhorn CircleManvel, TX 77578 · (281) 300-2109
Phone(281) 416-7077
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1215902200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 06184TG
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.
2755 TEXAS PKWY STE 104, Missouri City, TX 77489
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Other Identifiers 6

Medicare PIN8A9161TX
Medicare UPINU96011TX
Other11616008TX · Caqh
Medicaid160423302TX
Medicare PIN8A9162TX
Medicare PINTXB110024TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Mini John 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 ID5496949182
PECOS Enrollment IDI20101026001452
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77489 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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's NPI number?

The NPI number for Mini John is 1215902200. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Mini John located?

Mini John practices at 2755 Texas Pkwy Ste 104, Missouri City, TX 77489. The listed phone number is (281) 416-7077.

What is Mini John's specialty?

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

Is Mini John enrolled in Medicare?

Yes. Mini John 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 Mini John 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 10 other insurers list Mini John 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 Mini John 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.