MAGNOLIA EYE CLINIC PA
NPI 1881225605
Optometrist in Magnolia, TX
About Magnolia Eye Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA EYE CLINIC PA (NPI 1881225605), doing business as Vision Source Magnolia, is a healthcare organization registered as an optometrist in Magnolia, Texas and active in the NPI registry since January 2020. The organization lists Ravindra Kankaria, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Magnolia Eye Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Magnolia Eye Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Magnolia Eye Clinic PA's NPI number?
The NPI number for Magnolia Eye Clinic PA is 1881225605. It was assigned to this organization in the NPPES registry on January 30, 2020. The provider is doing business as Vision Source Magnolia.
Where is Magnolia Eye Clinic PA located?
Magnolia Eye Clinic PA is located at 18010 Fm 1488 Rd Ste 100, Magnolia, TX 77354. The listed phone number is (281) 252-6060.
What is Magnolia Eye Clinic PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Magnolia Eye Clinic PA enrolled in Medicare?
Yes. Magnolia Eye Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Eye Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Magnolia Eye Clinic PA. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Magnolia Eye Clinic PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Magnolia Eye Clinic PA 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 Magnolia Eye Clinic PA was last updated on January 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.
# Magnolia Eye Clinic Pa · NPI 1881225605
Optometrist organization in Magnolia, Texas. Organization record, active in the CMS NPPES registry since January 30, 2020.
## Identity
- **NPI:** 1881225605 (Entity type: Organization)
- **Enumerated:** January 30, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Vision Source Magnolia (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ravindra Kankaria, DOCTOR
## Practice location
- **Address:** 18010 FM 1488 RD STE 100, Magnolia, TX 77354-8562
- **Phone:** (281) 252-6060 · **Fax:** (281) 259-7502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1881225605) · Data from the CMS NPPES public registry.