Individual provider Active NPI

Stephanie Lynn Lechlitner, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1003297417
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8688TG Issued in TX
Practice address
360 Nueces St
Suite 70
Austin, TX 78701-4195
Phone
(512) 643-2020
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8688TG TX Primary

Addresses

Primary practice location

360 Nueces St
Suite 70
Austin, TX 78701-4195

Mailing address

360 Nueces St
Suite 70
Austin, TX 78701-4195
Phone (512) 643-2020

Other identifiers 1

IdentifierTypeStateIssuer
8688TGOtherTXTEXAS STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122001304 TX Practitioner - Optometry 0840593992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David W Tybor OD PCGroup PAC ID 1355369034, 4 clinicians

Practice addresses (Care Compare)

6000 W William Cannon Dr
BLDG a Suite 100
Austin, TX 78749-1976
Phone 51228804441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8688TXMDAddiction (Substance Use Disorder) Counselor
8688TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David W Tybor OD PC Optometrist CurrentSince Nov 15, 2017 Accepting new patients
Sonja M Franklin OD PA Optometrist PastSince Nov 15, 2017 Accepting new patients

Locations

6000 W William Cannon Dr
Ste A100
Austin, TX 78749
Phone (512) 288-0444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1003297417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 NUECES ST",
            "address_2": "SUITE 70",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014195",
            "telephone_number": "512-643-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 NUECES ST",
            "address_2": "SUITE 70",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014195",
            "telephone_number": "512-643-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHLITNER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8688TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE NUMBER",
            "identifier": "8688TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.