Individual provider Active NPI

William Ryan Butler, O.D.

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1144436767
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5811TG Issued in TX
Practice address
1150 Ih 35 N Ste 500
Round Rock, TX 78681-4271
Phone
(512) 828-5500
Fax
(512) 828-5501
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5811TG TX Primary

Addresses

Primary practice location

1150 Ih 35 N Ste 500
Round Rock, TX 78681-4271

Mailing address

1150 Ih 35 N Ste 500
Round Rock, TX 78681-4271
Phone (512) 828-5500

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
I20080825000267 TX Practitioner - Optometry 4587739636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Ih 35
Suite 500
Round Rock, TX 78681-4271

1150 Ih 35 N
500 W. Ryan Butler OD PLLC Tso of Round
Round Rock, TX 78681-4271
Phone (512) 828-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5811TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
W. Ryan Butler OD PLLC Optometrist CurrentSince Jan 17, 2011 Accepting new patients
Klein Eyecare, P.a. Optometrist PastSince Dec 1, 2024 Accepting new patients

Locations

1150 Ih 35 N
Ste 500
Round Rock, TX 78681
Phone (512) 828-5500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1144436767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 IH 35 N STE 500",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814271",
            "telephone_number": "512-828-5500",
            "fax_number": "512-828-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 IH 35 N STE 500",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814271",
            "telephone_number": "512-828-5500",
            "fax_number": "512-828-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "WILLIAM",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5811TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.