Individual provider Active NPI

Felicia Dea Satrio, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1104318484
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9834 Issued in TX
Practice address
1000 W 39TH St
Austin, TX 78756-4008
Phone
(512) 323-6996
Fax
(512) 452-0015
NPI assigned
Jun 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9834 TX Primary

Addresses

Primary practice location

1000 W 39TH St
Austin, TX 78756-4008

Mailing address

3919 Medical Parkway
Suite 100
Austin, TX 78756
Phone (512) 323-6996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190121000960 MA Practitioner - Optometry 3274870803 Reassigns benefits to 1 organization
I20191118002845 TX Practitioner - Optometry 3274870803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M D Jackman OD and Associates PLLCGroup PAC ID 1951563667, 4 clinicians

Practice addresses (Care Compare)

1000 W 39TH St
Austin, TX 78756-4008

3913 Medical Pkwy
Suite 100
Austin, TX 78756-4016
Phone (512) 323-9669

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9834TXMDChiropractor
5289MAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Eye Institute Inc. Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Jackman Eye Optometrist PastSince Sep 25, 2019 Accepting new patients

Locations

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1104318484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 MEDICAL PARKWAY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-323-6996",
            "fax_number": "512-452-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 39TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564008",
            "telephone_number": "512-323-6996",
            "fax_number": "512-452-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATRIO",
        "first_name": "FELICIA",
        "middle_name": "DEA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.