Richard Hobson Maybury, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5424TG Issued in TX

Practice address

1201 Barbara Jordan Blvd
Suite 1480
Austin, TX 78723-3083

Phone

(512) 452-3227

Fax

(512) 371-1418

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Vision Group, PLLC

  • Optometrist
  • Round Rock, TX
  • NPI 1326718339
  Medicare reassignment Care Compare group NPD
• Eye Clinic of Austin PLLC

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1023363926

  Optometrist

  NPD (past)
• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205813961

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1114977709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BARBARA JORDAN BLVD",
            "address_2": "SUITE 1480",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233083",
            "telephone_number": "512-452-3227",
            "fax_number": "512-371-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BARBARA JORDAN BLVD",
            "address_2": "SUITE 1480",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233083",
            "telephone_number": "512-452-3227",
            "fax_number": "512-371-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBURY",
        "first_name": "RICHARD",
        "middle_name": "HOBSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2278",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5424TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5424TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "81982Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Conlon LCSW-S PLLC
• Corinne Marlene Mayap Fotso, MD
• Molly Mayberry, LCSW
• Shannon Ruth Mayberry
• Andrea Sellier Maybury
• Erik Maye, LMFT-A
• Delores Ann Mayen, LCSW, LMSW-C
• Allyson J Mayer, PT
• Deborah A Mayer, CRNA
• William D Mayer, MD

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.