Active NPI
Austin Retina Associates PLLC
- Ophthalmology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- AUSTIN RETINA ASSOCIATES PLLC
- Practice address
- 801 W 38TH St Ste 200
Austin, TX 78705-1169 - Phone
- (512) 451-0103
- Fax
- (512) 451-2741
- NPI assigned
- Feb 6, 2006
- Last updated
- May 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Collins
- Title
- C.E.O.
- Phone
- (512) 451-0103
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X |
Addresses
Primary practice location
801 W 38TH St Ste 200
Austin, TX 78705-1169
Mailing address
1512 W 35TH St Ste 200
Austin, TX 78703-1437
Phone (512) 451-0103
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP8063 | Other | TX | RAILROAD MEDICARE |
| 00LK94 | Other | TX | BCBS TX |
| 083945801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040827000054 | TX | Part B Supplier - Clinic/Group Practice | 2163497801 |
Receives reassigned benefits from 19 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Killeen, TX; Wimberley, TX; Waco, TX; Temple, TX; San Marcos, TX; Round Rock, TX; Marble Falls, TX; Lakeway, TX… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2023620 | Austin Retina Associates | Certificate of waiver | Apr 26, 2027 |
| 45D2259314 | Austin Retina Associates | Certificate of waiver | May 3, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Austin Retina Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Kyle, TX
- NPI 1033183561
Locations
801 W 38th St
Ste 200
Austin, TX 78705
3300 W Anderson Ln
Ste 308
Austin, TX 78757
Phone (512) 454-8744
2501 Ranch Road 620 S
Ste 130
Lakeway, TX 78734
101 Medical Pkwy
Ste 240
Lakeway, TX 78738
503 Highway 1431
Ste 101
Marble Falls, TX 78654
Phone (830) 798-2400
200 Max Starcke Dam Rd
Ste 240
Marble Falls, TX 78654
319 W Harris Ave
San Angelo, TX 76903
Phone (325) 658-8595
220 Opportunity Blvd
Unit 2A
San Marcos, TX 78666
2027 S 61st St
Ste 116
Temple, TX 76504
2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457
Interoperability endpoints
- aroller@austinretina.intellechartdirect.net
- ralabi@austinretina.intellechartdirect.net
- nhasegaw@austinretina.intellechartdirect.net
- spatel@austinretina.intellechartdirect.net
- mji@austinretina.intellechartdirect.net
- jfitzpatrick@austinretina.intellechartdirect.net
- cleal@austinretina.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 26
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Austin, TX
- NPI 1891290797
-
- Ophthalmology Physician
- Austin, TX
- NPI 1962474643
-
- Ophthalmology Physician
- Austin, TX
- NPI 1588788830
-
- Ophthalmology Physician
- Austin, TX
- NPI 1013989706
-
- Ophthalmology Physician
- Austin, TX
- NPI 1518586866
-
- Ophthalmology Physician
- Austin, TX
- NPI 1811525777
-
- Ophthalmology Physician
- Austin, TX
- NPI 1730648551
-
- Ophthalmology Physician
- Austin, TX
- NPI 1609848399
-
- Ophthalmology Physician
- Austin, TX
- NPI 1679545370
-
- Ophthalmology Physician
- Austin, TX
- NPI 1467438531
-
- Ophthalmology Physician
- Austin, TX
- NPI 1700376209
-
- Ophthalmology Physician
- Austin, TX
- NPI 1700085248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1114999828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 W 35TH ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031437",
"telephone_number": "512-451-0103",
"fax_number": "512-451-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W 38TH ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051169",
"telephone_number": "512-451-0103",
"fax_number": "512-451-2741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN RETINA ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-06",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "512-451-0103"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP8063",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "00LK94",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083945801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Austin Rehab Operations LLC
- Austin Resiliency Clinic PLLC
- Austin Resolution Therapy, PLLC
- Austin Restorative Therapies
- Austin Restorative Therapies, PLLC
- Austin Rheumatology & Osteoporosis Assoc LLP
- Austin Riverside - Dr, LLC (Dental Republic)
- Austin Senior Care
- Austin Sixth Street Smiles
- Austin Skeletal Trauma Specialists, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.