Active NPI
Kaylee White, OD
- Optometrist
- Austin, TX
National Provider Identifier
1053244970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11624TG
- Practice address
- 2600 Via Fortuna
Ste 400
Austin, TX 78746-7990 - Phone
- (512) 327-4123
- Fax
- (713) 580-2567
- NPI assigned
- Jun 8, 2026
- Last updated
- Aug 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11624TG | TX | Primary |
Addresses
Primary practice location
2600 Via Fortuna
Ste 400
Austin, TX 78746-7990
Mailing address
PO Box 4346 Dept 368
Houston, TX 77210
Phone (713) 580-2500
Other practice location 1
4314 W Braker Ln
Ste 215
Austin, TX 78759-5358
Phone (512) 200-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Via Fortuna
Suite 400
Austin, TX 78746-7992
Phone (512) 327-4123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11624TG | TX | MD | Optometrist |
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, 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": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1053244970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4346 DEPT 368",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77210",
"telephone_number": "713-580-2500",
"fax_number": "713-580-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 VIA FORTUNA",
"address_2": "STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467990",
"telephone_number": "512-327-4123",
"fax_number": "713-580-2567"
}
],
"practiceLocations": [
{
"address_1": "4314 W Braker Ln",
"address_2": "Ste 215",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787595358",
"country_code": "US",
"telephone_number": "512-200-3937",
"fax_number": "713-580-2567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "KAYLEE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11624TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.