Individual provider Active NPI

Kathryn Elizabeth Smith, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1013165547
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7306TG Issued in TX
Practice address
1801 E 51St St
Austin, TX 78723-3434
Phone
(512) 271-6677
Fax
(512) 271-6674
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7306TG TX Primary

Addresses

Primary practice location

1801 E 51St St
Austin, TX 78723-3434

Mailing address

1801 E 51St St Ste 360
Austin, TX 78723-3468
Phone (512) 271-6677

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
I20091202000697 TX Practitioner - Optometry 3870632953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Eye Center, PLLCGroup PAC ID 0749590750, 3 clinicians

Practice addresses (Care Compare)

1801 E 51St St
Suite 360
Austin, TX 78723-3468
Phone (512) 271-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7306TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eye Center, PLLC Optometrist CurrentSince Jul 1, 2017 Accepting new patients

Locations

1801 E 51st St
Ste 360
Austin, TX 78723
Phone (512) 271-6677

Organizations & group practices 1

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1013165547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E 51ST ST STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233468",
            "telephone_number": "512-271-6677",
            "fax_number": "512-271-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 51ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233434",
            "telephone_number": "512-271-6677",
            "fax_number": "512-271-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7306TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.