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JUANITA VINCENTY OD
NPI 1437487543
Optometrist in Fort Worth, TX

Active since December 01, 2009PECOS Enrolled
7108 CAMP BOWIE BLVD, FORT WORTH, TX 76116(817) 738-3191(817) 738-7724 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juanita Vincenty Od NPPES

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

JUANITA VINCENTY OD (NPI 1437487543) is an individual optometrist in Fort Worth, Texas, licensed in Texas (7470T) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1437487543
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJUANITA VINCENTYCredential: OD
Location Address7108 CAMP BOWIE BLVDFort Worth, TX 76116-7121
Mailing Address7108 Camp Bowie BlvdFort Worth, TX 76116-7198 · (817) 738-3191 · Fax (817) 738-7724
Phone(817) 738-3191
Fax(817) 738-7724
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 1, 2009
Last NPPES UpdateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1437487543 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 · 7470T
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.
7108 CAMP BOWIE BLVD, Fort Worth, TX 76116
Open in Google Maps ↗

Other Identifiers 1

Other7470TTexas Optometry Board

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juanita Vincenty Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012044951
PECOS Enrollment IDI20100423000568
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.

Medicare Billing Reassignment

Medicare enrollment records show Juanita Vincenty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luck Optical LLC
Same address
Optometrist
7108 CAMP BOWIE BLVD
Fort Worth, TX 76116
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1871926857 (817) 738-3191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76116 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 15

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

HONG ZENG O.D.
Optometrist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191
DR. SHAMA DEAN O.D.
Optometrist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191
DR. JOSEFINA DELGADO O.D.
Optometrist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191
SHARON R LUCK
Technician/Technologist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191
DR. LARRY A WHETSTINE O.D.
Optometrist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191
LUCK OPTICAL LLC
Optometrist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191
LINDSEY SMITH
Technician/Technologist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191
TAKEVA MARSHA HICKS
Optometrist
7108 CAMP BOWIE BLVD
FORT WORTH, TX 76116
Tarrant County (817) 738-3191

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 Juanita Vincenty's NPI number?

The NPI number for Juanita Vincenty is 1437487543. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Where is Juanita Vincenty located?

Juanita Vincenty practices at 7108 Camp Bowie Blvd, Fort Worth, TX 76116. The listed phone number is (817) 738-3191.

What is Juanita Vincenty's specialty?

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

Is Juanita Vincenty enrolled in Medicare?

Yes. Juanita Vincenty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juanita Vincenty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Vincenty reassigns Medicare benefits to Luck Optical LLC (Fort Worth, TX). The 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 Juanita Vincenty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juanita Vincenty 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 15 other insurers list Juanita Vincenty 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 Juanita Vincenty was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.