Individual provider Active NPI

Sean Paul, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1063733137
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q2823 Issued in TX
Practice address
4316 James Casey St
BLDG F Ste 201
Austin, TX 78745-1116
Phone
(512) 642-5050
Fax
(512) 642-8186
NPI assigned
Jun 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q2823 TX Primary

Addresses

Primary practice location

4316 James Casey St
BLDG F Ste 201
Austin, TX 78745-1116

Mailing address

4316 James Casey St
BLDG F Ste 201
Austin, TX 78745-1116
Phone (512) 642-5050

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629001730 TX Practitioner - OphthalmologyPractitioner - Other (Physician) 7810130796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Oculoplastics PLLCGroup PAC ID 4284947292, 5 clinicians

Practice addresses (Care Compare)

7004 Bee Caves Rd
BLDG 2
West Lake Hills, TX 78746-5087
Phone (512) 642-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Oculoplastics PLLC CurrentSince Jun 1, 2015 Accepting new patients

Locations

2800 S 35
Ste 165
Austin, TX 78704

4316 James Casey St
Ste F-201
Austin, TX 78745
Phone (210) 363-2641

3101 Highway 71 E
Ste 101
Bastrop, TX 78602
Phone (512) 304-0300

1130 Cottonwood Creek Trl
Ste D4
Cedar Park, TX 78613
Phone (512) 551-5500

1439 Hanz Dr
New Braunfels, TX 78130
Phone (830) 606-9099

1439 Hanz Dr
#P
New Braunfels, TX 78130

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

7004 Bee Caves Rd
Ste 2-100
West Lake Hills, TX 78746

7004 Bee Caves Rd
Bldg 2
West Lake Hills, TX 78746
Phone (512) 306-1394

7004 Bee Caves Rd
Ste 100
West Lake Hills, TX 78746

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1063733137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLDG F STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-642-5050",
            "fax_number": "512-642-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLDG F STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-642-5050",
            "fax_number": "512-642-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q2823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.