Roxana Rodriguez Leija, O.D.
Individual provider Active NPI Optometrist · Spicewood, TX
NPI 1104209683 · NPPES record last updated Jul 13, 2021
Key facts
- NPI
- 1104209683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 8724T (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151015001932 | TX | Practitioner - Optometry | 8729397641 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8724T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremy L Danson OD PA | Optometrist | Current |
Accepting new patients |
| BC Eyefitters PLLC | Optometrist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8724T | TX | Yes |
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
Other providers in Spicewood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.