Jodie L. West, O.D., P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

6054TG Issued in TX

Legal business name

JODIE L. WEST, O.D., P.A

Practice address

800 Crystal Falls Pkwy
#4
Leander, TX 78641-3666

Phone

(512) 260-0405

Fax

(512) 260-0425

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jodie L West, O.D.NPI 1083713127

Title

President, Optometrist

Phone

(512) 260-0405

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Texas Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodie L West, O.D.

  • Optometrist
  • Leander, TX
  • NPI 1083713127
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083733893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRYSTAL FALLS PKWY",
            "address_2": "#4",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413666",
            "telephone_number": "512-260-0405",
            "fax_number": "512-260-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CRYSTAL FALLS PKWY",
            "address_2": "#4",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413666",
            "telephone_number": "512-260-0405",
            "fax_number": "512-260-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE L. WEST, O.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT, OPTOMETRIST",
        "authorized_official_telephone_number": "512-260-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6054TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7774588",
            "identifier": "AETNA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "625436001",
            "identifier": "CIGNA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "914046",
            "identifier": "EYEMED VISION CARE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "454320",
            "identifier": "NVA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": null,
            "identifier": "LIFE RE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1463587",
            "identifier": "CLARITY VISION",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "81163Q",
            "identifier": "BCBS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": null,
            "identifier": "GREAT WEST",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": null,
            "identifier": "UNITED HEALTH CARE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Leander, TX
• Providers in Leander, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.