Individual provider Active NPI

Gregg Edward Kamnetz, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1043258668
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3486TG Issued in TX
Practice address
2712 Bee Cave Rd
Suite 118
Austin, TX 78746-5676
Phone
(512) 327-3605
Fax
(512) 327-3803
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3486TG TX Primary

Addresses

Primary practice location

2712 Bee Cave Rd
Suite 118
Austin, TX 78746-5676

Mailing address

2712 Bee Cave Rd
Suite 118
Austin, TX 78746-5676
Phone (512) 327-3605

Other identifiers 1

IdentifierTypeStateIssuer
127227003MedicaidTX

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
I20070606000518 TX Practitioner - Optometry 9739287293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Love Austin Eye Care PLLCGroup PAC ID 5991286965, 2 clinicians

Practice addresses (Care Compare)

2712 Bee Caves Rd
Suite 118
Austin, TX 78746-5683
Phone (512) 327-3605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3486TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg E Kamnetz O.D., P.C. Optometrist CurrentSince Nov 3, 2011 Accepting new patients

Locations

2712 Bee Caves Rd
Ste 118
Austin, TX 78746
Phone (512) 327-3605

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1043258668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVE RD",
            "address_2": "SUITE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465676",
            "telephone_number": "512-327-3605",
            "fax_number": "512-327-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVE RD",
            "address_2": "SUITE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465676",
            "telephone_number": "512-327-3605",
            "fax_number": "512-327-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMNETZ",
        "first_name": "GREGG",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3486TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127227003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.