DR. DREW DORAN DOUGLAS O.D.
NPI 1548345663
Optometrist in Tyler, TX

Q: What is Drew Douglas's NPI number?

The NPI number for Drew Douglas is 1548345663. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Drew Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Drew Douglas was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment

4524 S BROADWAY AVE, TYLER, TX 75703(903) 581-1530(903) 534-8629 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Drew Doran Douglas O.d. NPPES

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

DR. DREW DORAN DOUGLAS O.D. (NPI 1548345663) is an individual optometrist in Tyler, Texas, licensed in Texas (5114) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1995).

NPPES Registry Identity

NPI1548345663

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DREW DORAN DOUGLASCredential: O.D.

Location Address4524 S BROADWAY AVETyler, TX 75703-1305

Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780

Phone(903) 581-1530

Fax(903) 534-8629

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1995

Enumeration DateOctober 26, 2006

Last NPPES UpdateOctober 10, 2024

NPPES CertifiedOctober 10, 2024

✔ NPI 1548345663 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 · 5114

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.

4524 S BROADWAY AVE, Tyler, TX 75703

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Other Identifiers 1

Other25286TX · Opticare Chips

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 and accepts Medicare assignment

Dr. Drew Doran Douglas 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 ID6709832728

PECOS Enrollment IDI20050324000499

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 Drew Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Med Southwest, PLLC

Same address

Optometrist

4524 S BROADWAY AVE
Tyler, TX 75703

Reassigned Medicare billing, Texas enrollment
396 clinicians in this Medicare group

NPI 1548087273 (903) 581-1530

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 75703 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.

Other Providers at the Same Location NPPES 4

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

COMPLETE FAMILY EYECARE

Eyewear Supplier

4524 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 581-1530

MED SOUTHWEST, PLLC

Optometrist

4524 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 581-1530

DR. JOHN ROBERT MCGOUGH O.D.

Optometrist

4524 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 581-1530

MONA DOUGLAS O.D.

Optometrist

4524 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 581-1530

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 Drew Douglas's NPI number?

The NPI number for Drew Douglas is 1548345663. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Drew Douglas located?

Drew Douglas practices at 4524 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 581-1530.

What is Drew Douglas's specialty?

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

Is Drew Douglas enrolled in Medicare?

Yes. Drew Douglas 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.

Which organization bills Medicare for Drew Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Drew Douglas reassigns Medicare benefits to Med Southwest, PLLC (Tyler, 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 Drew Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Drew Douglas 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 16 other insurers list Drew Douglas 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 Drew Douglas was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.