Individual provider Active NPI

Jason Christopher Stone, OD

  • Optometrist
  • Taylor, TX
National Provider Identifier
1104311927
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9515T Issued in TX
Practice address
603 Mallard LN
Taylor, TX 76574-1214
Phone
(512) 352-7664
Fax
(512) 365-5237
NPI assigned
Jun 25, 2018
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9515T TX Primary

Addresses

Primary practice location

603 Mallard LN
Taylor, TX 76574-1214

Mailing address

2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010
Phone (512) 244-1991

Other practice location 1

2120 Round Rock Ave Ste 100
Round Rock, TX 78681-4010
Phone (512) 244-1991

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
I20190123000413 TX Practitioner - Optometry 1355688805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eactx PLLCGroup PAC ID 3476616541, 6 clinicians

Practice addresses (Care Compare)

2120 Round Rock Ave
Suite 100
Round Rock, TX 78681-4010
Phone (512) 244-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
91.81
Improvement activities
40
Cost
78.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9515TXMDGeneral Practice Dentistry
9515TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eactx PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

3618 Williams Dr
Ste 101
Georgetown, TX 78628
Phone (512) 244-1991

2120 Round Rock Ave
#100
Round Rock, TX 78681
Phone (512) 244-1991

603 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1104311927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 ROUND ROCK AVE STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814010",
            "telephone_number": "512-244-1991",
            "fax_number": "512-244-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "512-352-7664",
            "fax_number": "512-365-5237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Round Rock Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786814010",
            "country_code": "US",
            "telephone_number": "512-244-1991",
            "fax_number": "512-244-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9515T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.