Individual provider Active NPI

Jonathan Christian Munoz, OD

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1023662418
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9766 Issued in TX
Practice address
121 Louis Henna Blvd
Round Rock, TX 78664-7307
Phone
(512) 691-7008
NPI assigned
Jul 24, 2019
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9766 TX Primary

Addresses

Primary practice location

121 Louis Henna Blvd
Round Rock, TX 78664-7307

Mailing address

205 Mais Dr
Georgetown, TX 78626-2911
Phone (737) 733-5245

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
I20190917000092 TX Practitioner - Optometry 4789913708 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munoz Eyecare PLLC Optometrist CurrentSince Apr 6, 2023 Accepting new patients
Keith Dennis OD PA Optometrist CurrentSince Jul 8, 2019 Accepting new patients

Locations

121 Louis Henna Blvd
Round Rock, TX 78664
Phone (512) 362-5699

3107 S Interstate 35
Ste 780B
Round Rock, TX 78664
Phone (512) 248-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1023662418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAIS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786262911",
            "telephone_number": "737-733-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LOUIS HENNA BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647307",
            "telephone_number": "512-691-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JONATHAN",
        "middle_name": "CHRISTIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.