Individual provider Active NPI

Roxana Rodriguez Leija, O.D.

  • Optometrist
  • Spicewood, TX
National Provider Identifier
1104209683
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8724T Issued in TX
Practice address
4900 Bee Creek Rd Ste 102
Spicewood, TX 78669-6776
Phone
(512) 744-6274
Fax
(512) 744-6319
NPI assigned
Jul 2, 2015
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8724T TX Primary

Addresses

Primary practice location

4900 Bee Creek Rd Ste 102
Spicewood, TX 78669-6776

Mailing address

4900 Bee Creek Rd Ste 102
Spicewood, TX 78669-6776
Phone (512) 744-6274

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
I20151015001932 TX Practitioner - Optometry 8729397641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4900 Bee Creek Rd
Suite 102
Spicewood, TX 78669-6776
Phone (325) 277-1228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8724TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
BC Eyefitters PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Jeremy L Danson OD PA Optometrist CurrentSince Aug 24, 2015 Accepting new patients

Locations

2801 S Water St
Burnet, TX 78611
Phone (512) 756-2131

4900 Bee Creek Rd
Unit 102
Spicewood, TX 78669
Phone (325) 277-1228

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, 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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1104209683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BEE CREEK RD STE 102",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696776",
            "telephone_number": "512-744-6274",
            "fax_number": "512-744-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BEE CREEK RD STE 102",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696776",
            "telephone_number": "512-744-6274",
            "fax_number": "512-744-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIJA",
        "first_name": "ROXANA",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8724T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spicewood, TX

Sources for this page

Verify at the official NPI Registry.