Individual provider Active NPI

Justin David Aaker, MD

  • Ophthalmology Physician
  • Georgetown, TX
National Provider Identifier
1144422908
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P1953 Issued in TX
Practice address
3613 Williams Dr
Suite 703
Georgetown, TX 78628-1377
Phone
(512) 686-1224
Fax
(512) 686-1272
NPI assigned
Jun 4, 2007
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A130749 CA
Ophthalmology Physician 207W00000X 2011006231 MO
Ophthalmology Physician 207W00000X P1953 TX Primary

Addresses

Primary practice location

3613 Williams Dr
Suite 703
Georgetown, TX 78628-1377

Mailing address

3613 Williams Dr
Suite 703
Georgetown, TX 78628-1377
Phone (512) 686-1224

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address revealeye@direct.practicefusion.com Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000360 TX Practitioner - Ophthalmology 3870771256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3613 Williams Dr
Suite 703
Georgetown, TX 78628-1373
Phone (512) 686-1224

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A130749CAMDOphthalmology Physician
P1953TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reveal Eye Care & Surgery, PLLC Ophthalmology CurrentSince May 25, 2016 Accepting new patients

Locations

3613 Williams Dr
Ste 703
Georgetown, TX 78628
Phone (512) 632-4731

Interoperability endpoints

  • Direct secure messaging: revealeye@direct.practicefusion.com

Organizations & group practices 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1144422908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR",
            "address_2": "SUITE 703",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281377",
            "telephone_number": "512-686-1224",
            "fax_number": "512-686-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR",
            "address_2": "SUITE 703",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281377",
            "telephone_number": "512-686-1224",
            "fax_number": "512-686-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AAKER",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A130749",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2011006231",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "revealeye@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3613 Williams Dr Ste 703",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786281373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.