Individual provider Active NPI

Kaylee White, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1053244970
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11624TG Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

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

LicenseStateTypeSpecialty
11624TGTXMDOptometrist

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

Verify at the official NPI Registry.