Deactivated NPI 1114918943 Deactivated / Inactive NPI Female Practitioner

Dr. Anjonette L Colvin , OD

Optometrist • Fort Worth, TX

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anjonette Colvin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2005

NPI Deactivation Date June 03, 2008

Total Practice Duration ~8 Years of Practice (2000 – 2008)

Professional Overview & Biography Verified Profile Summary

Dr. Anjonette Colvin, OD was a registered Optometrist in Fort Worth, TX. Prior to record deactivation on 2008-06-03, Dr. Colvin completed approximately 8 years of clinical practice following graduation from Ohio State University - College Of Optometry in 2000.

Dr. Colvin maintained professional affiliations with Haslet Family Eyecare, Pllc, Med Southwest Pllc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, photography of the retina, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9816 N Beach St
Ste 101

Fort Worth, TX 762446184

Telephone 8177412020

Fax 8177413937

Associated Practice Facility / Clinic

🏢 Anjonette Colvin, Od, Pa Facility NPI 1659392835

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Worth, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +10.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

158 Specialists

Practicing in Fort Worth, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Colvin (26 Years) 26 Yrs

Fort Worth Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$80.00	$55.80
92250 Photography of the retina	24	24	$95.21	$36.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$79.46	$55.74
92250 Photography of the retina	19	18	$95.00	$36.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	30	30	$159.67	$122.47
92250 Photography of the retina	25	25	$99.20	$34.97
92004 New patient complete exam of visual system	24	24	$160.00	$146.34
92083 Exam of visual field with extended testing	17	17	$138.82	$60.37
92012 Established patient problem focused exam of visual system	17	15	$99.65	$86.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	43	42	$155.70	$122.09
92250 Photography of the retina	40	40	$100.00	$36.12
92004 New patient complete exam of visual system	34	34	$155.44	$145.49
92083 Exam of visual field with extended testing	28	26	$140.00	$60.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	42	42	$155.00	$120.65
92250 Photography of the retina	34	34	$100.00	$40.05
92083 Exam of visual field with extended testing	23	23	$140.00	$60.51
92004 New patient complete exam of visual system	14	14	$155.00	$144.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	67	67	$100.00	$44.58
92014 Established patient complete exam of visual system	57	57	$155.00	$119.40
92083 Exam of visual field with extended testing	46	46	$140.00	$60.55
92004 New patient complete exam of visual system	37	37	$155.00	$144.17
66984 Removal of cataract with insertion of lens	24	15	$504.17	$120.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	89	84	$99.27	$46.78
92083 Exam of visual field with extended testing	78	75	$140.00	$58.97
92014 Established patient complete exam of visual system	66	65	$155.00	$116.08
92004 New patient complete exam of visual system	31	31	$155.00	$139.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$85.00	$40.16
66984 Removal of cataract with insertion of lens	18	11	$500.00	$117.84
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$125.00	$66.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	85	85	$100.65	$59.84
92083 Exam of visual field with extended testing	75	75	$140.00	$51.97
92014 Established patient complete exam of visual system	56	56	$154.02	$112.37
92004 New patient complete exam of visual system	29	29	$155.00	$135.64
66984 Removal of cataract with insertion of lens	23	13	$500.00	$115.56
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$125.00	$66.41

Medical Specialties & State Licenses

CMS Verified: 2022-05-06

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 6164TG

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.

Hospital & Practice Group Affiliations

Haslet Family Eyecare, Pllc

2432 Avondale Haslet Rd, Haslet, TX 760523428

Phone: 8179932020

Med Southwest Pllc

9816 N Beach St, Fort Worth, TX 762446184

Phone: 8177412020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Michael Shea , OD

Optometrist

NPI 1124146469

Doctor of Optometry

Dr. Candace Seagraves , OD

Optometrist

NPI 1427357763

Doctor of Optometry

Dr. Hamza Amanullah , OD

Optometrist

NPI 1487347324

Doctor of Optometry

Dr. Elizabeth Scherer , OD

Optometrist

NPI 1942612593

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address May 06, 2022

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

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Updated Practice Location November 30, 2016

Registered at 9816 N BEACH ST, STE 101, FORT WORTH, TX 762446184 (Tel: 8177412020)

📍

Updated Business Mailing Address November 30, 2016

Registered at 9816 N BEACH ST, STE 101, FORT WORTH, TX 762446184 (Tel: 8177412020)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as ANJONETTE COLVIN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Optometrist (License #6164TG in TX)

🔄

NPI Profile Reactivated August 27, 2008

Record officially reactivated for active practice on August 27, 2008

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NPI Profile Deactivated June 03, 2008

Record deactivated on June 03, 2008

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Initial NPI Registration & Enumeration November 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114918943

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 01, 2005

Last Update: May 06, 2022

Deactivation Date: June 03, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1950 Old Gallows Rd Ste 520

Vienna, VA 221823970

Phone: 7038478899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.