Individual provider Active NPI

Chelsea Anne Devitt, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1093236416
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9600TG Issued in TX
Practice address
3410 Far West Blvd Ste 140
Austin, TX 78731-3167
Phone
(404) 531-9988
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003039 GA
Optometrist 152W00000X 9600TG TX Primary

Addresses

Primary practice location

3410 Far West Blvd Ste 140
Austin, TX 78731-3167

Mailing address

3300 Wells Branch Pkwy Apt 5304
Austin, TX 78728-6693
Phone (330) 805-0999

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
I20190712000998 TX Practitioner - Optometry 9537427398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterloo Eye AssociatesGroup PAC ID 6608802830, 4 clinicians

Practice addresses (Care Compare)

11901 W Parmer LN
Suite 400
Cedar Park, TX 78613-7655
Phone (512) 528-1144

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
94.38
Improvement activities
40
Cost
76.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9600TXMDDental Hygienist
9600TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Waterloo Eye Associates Optometrist CurrentSince Dec 17, 2022 Accepting new patients
Eye Clinic of Austin PLLC Optometrist CurrentSince Oct 6, 2019 Accepting new patients
Beacon Behavioral of Texas PA PastSince Oct 16, 2024 Accepting new patients

Locations

3410 Far West Blvd
Ste 140
Austin, TX 78731
Phone (512) 427-1100

3410 Far West Blvd
Austin, TX 78731
Phone (512) 427-1100

12171 W Parmer Ln
Ste 201
Cedar Park, TX 78613
Phone (512) 528-1144

11901 W Parmer Ln
Ste 400
Cedar Park, TX 78613
Phone (512) 528-1144

Organizations & group practices 3

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1093236416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WELLS BRANCH PKWY APT 5304",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286693",
            "telephone_number": "330-805-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313167",
            "telephone_number": "404-531-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITT",
        "first_name": "CHELSEA",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003039",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9600TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.