Individual provider Active NPI

Luc Tadeusz Waked, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1053154856
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11098TG Issued in TX
Practice address
5900 W Slaughter LN Ste 450
Austin, TX 78749-6513
Phone
(512) 288-0090
NPI assigned
Jun 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11098TG TX Primary

Addresses

Primary practice location

5900 W Slaughter LN Ste 450
Austin, TX 78749-6513

Mailing address

5900 W Slaughter LN Ste 450
Austin, TX 78749-6513
Phone (512) 288-0090

Other practice location 1

501 E Palm Valley Blvd
Round Rock, TX 78664-3000
Phone (512) 248-2424

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
I20251001001106 TX Practitioner - Optometry 1153827951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

301 W Texas Ave
Baytown, TX 77520-7736
Phone (281) 427-7374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11098TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jul 27, 2025 Accepting new patients
Chris L Warford OD PA Optometrist CurrentSince Jul 27, 2025 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

5900 W Slaughter Ln
Ste 450
Austin, TX 78749
Phone (512) 288-0090

301 W Texas Ave
Baytown, TX 77520
Phone (281) 427-7374

14700 FM 2100 Rd
Ste 3
Crosby, TX 77532
Phone (281) 328-2020

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

13550 Lakes of Champions Blvd
Mont Belvieu, TX 77523
Phone (832) 981-7276

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Organizations & group practices 4

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1053154856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 W SLAUGHTER LN STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496513",
            "telephone_number": "512-288-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W SLAUGHTER LN STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496513",
            "telephone_number": "512-288-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Palm Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786643000",
            "country_code": "US",
            "telephone_number": "512-248-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKED",
        "first_name": "LUC",
        "middle_name": "TADEUSZ",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11098TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.