Individual provider Active NPI

Sabeen Ali, OD

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1073008413
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9488T Issued in TX
Practice address
3107 S Interstate 35 Ste 780B
Round Rock, TX 78664-9352
Phone
(512) 248-2020
NPI assigned
Jun 27, 2018
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 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 9488T TX Primary

Addresses

Primary practice location

3107 S Interstate 35 Ste 780B
Round Rock, TX 78664-9352

Mailing address

1216 Shannon Oaks TRL
Austin, TX 78746-7303
Phone (512) 736-6143

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
I20181012000404 TX Practitioner - Optometry 0143572503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith Dennis OD PAGroup PAC ID 0547289985, 3 clinicians

Practice addresses (Care Compare)

3107 S I H
35 Suite 760B
Round Rock, TX 78664-9352

3107 S Ih
35 Suite 780B
Round Rock, TX 78664-9352
Phone (512) 248-2020

3107 S Interestate
35 Suite 780B
Round Rock, TX 78664-9352

3107 S Interstate 35
Suite 780B
Round Rock, TX 78664-9352

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9488TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Dennis OD PA Optometrist CurrentSince Jun 22, 2018 Accepting new patients

Locations

3107 S Interstate 35
Ste 780B
Round Rock, TX 78664
Phone (512) 248-2020

Interoperability endpoints

  • Direct secure messaging: sabeen.ali@uprisedirect.com

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1073008413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SHANNON OAKS TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467303",
            "telephone_number": "512-736-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 S INTERSTATE 35 STE 780B",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786649352",
            "telephone_number": "512-248-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SABEEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9488T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.