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MONA DOUGLAS O.D.
NPI 1962841387
Optometrist in Tyler, TX

Active since June 19, 2013PECOS Enrolled
4524 S BROADWAY AVE, TYLER, TX 75703(903) 581-1530(903) 534-8629 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mona Douglas O.d. NPPES

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

MONA DOUGLAS O.D. (NPI 1962841387) is an individual optometrist in Tyler, Texas, licensed in Texas (5038TG) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962841387
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMONA DOUGLASCredential: O.D.
Location Address4524 S BROADWAY AVETyler, TX 75703-1305
Mailing Address4524 S Broadway AveTyler, TX 75703-1305 · (903) 581-1530 · Fax (903) 534-8629
Phone(903) 581-1530
Fax(903) 534-8629
Sole ProprietorNo
Enumeration DateJune 19, 2013
✔ NPI 1962841387 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 · 5038TG
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 Names 1

Former Name (1)Mona Vicknair

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 (PECOS)

Mona Douglas O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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. DREW DORAN DOUGLAS O.D.
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

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 Mona Douglas's NPI number?

The NPI number for Mona Douglas is 1962841387. It was assigned to this individual provider in the NPPES registry on June 19, 2013. The provider is also known as Mona Vicknair.

Where is Mona Douglas located?

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

What is Mona Douglas's specialty?

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

Is Mona Douglas enrolled in Medicare?

Yes. Mona Douglas is registered in the Medicare PECOS enrollment system.

What insurance does Mona 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 7 other insurers list Mona 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 Mona Douglas was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.