Individual provider Active NPI

Justin Mays, O.D.

  • Optometrist
  • College Station, TX
National Provider Identifier
1053796375
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8798TG Issued in TX
Practice address
1109 Rock Prairie Rd Ste 300
College Station, TX 77845
Phone
(979) 764-0669
Fax
(979) 694-1940
NPI assigned
Jul 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8798TG TX Primary

Addresses

Primary practice location

1109 Rock Prairie Rd Ste 300
College Station, TX 77845

Mailing address

1109 Rock Prairie Rd Ste 300
College Station, TX 77845-8651
Phone (979) 764-0669

Other practice location 1

1350 Leah Ave
San Marcos, TX 78666-7691
Phone (512) 395-4505

Other practice location 2

301 Seton Pkwy Ste 100
Round Rock, TX 78665-8003
Phone (512) 244-7200 ext. 207

Other practice location 3

4500 Williams Dr Ste 228
Georgetown, TX 78633-1332
Phone (512) 244-7200

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
I20160516001984 TX Practitioner - Optometry 1254620123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mays Eye PLLCGroup PAC ID 5991040644, 2 clinicians
Clara Vista EyecareGroup PAC ID 6507216371, 3 clinicians

Practice addresses (Care Compare)

1109 Rock Prairie Rd
College Station, TX 77845-8651
Phone (979) 764-0669

19792 Hwy 105 W
Suite 300
Montgomery, TX 77356-6107
Phone (936) 220-4313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8798TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Vista Eyecare Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Mays Eye PLLC Optometrist CurrentSince Aug 30, 2018 Accepting new patients

Locations

19792 Highway 105 W
Ste 300
Montgomery, TX 77356
Phone (936) 220-4313

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1053796375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 ROCK PRAIRIE RD STE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458651",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 ROCK PRAIRIE RD STE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Leah Ave",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667691",
            "country_code": "US",
            "telephone_number": "512-395-4505",
            "fax_number": "844-655-1607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Seton Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786658003",
            "country_code": "US",
            "telephone_number": "512-244-7200 x207",
            "fax_number": "512-868-3907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Williams Dr Ste 228",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786331332",
            "country_code": "US",
            "telephone_number": "512-244-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYS",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8798TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.