PONTEA AZANDARYANI MOMENI (O.D) – Optometrist, NPI 1023458015
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,145 OPTOMETRY in TX
Provider Addresses for PONTEA AZANDARYANI MOMENI (O.D)
3100 WESLAYAN ST
SUITE 400
HOUSTON, TX 770275727
Phone: (713) 526-1600
Fax: (713) 620-7697
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $957.
Total Amount is formed as General ($957) + Research ($0) + Ownership ($0) = $957.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($270).
Total Amount
$957
General + Research + Ownership
Payments
33
Total payment records
General Amount
$957
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tarsus Pharmaceuticals, Inc. | $270 |
| CooperVision Inc. | $254 |
| Alcon Vision LLC | $130 |
| Bausch & Lomb Americas Inc. | $103 |
| ABBVIE INC. | $91 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-09-11
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130911000092 | I | Optometry | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 131 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 37 | $0 |
| 92012 | Established patient problem focused exam of visual system | 39 | 34 | $0 |
| 92083 | Exam of visual field with extended testing | 23 | 23 | $0 |
| 92133 | Imaging of optic nerve | 22 | 22 | $0 |
Insurance plans in this area (ZIP 77027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | AZ | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX |
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