Organization Active NPI

Stephen Hyle O D P C

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1235332180
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5132 Issued in TX
Legal business name
STEPHEN HYLE O D P C
Practice address
4701 Williams Dr
Suite 5
Georgetown, TX 78633-2056
Phone
(512) 869-0559
Fax
(512) 863-0559
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Stephen Hyle, ODNPI 1396804886
Title
President
Phone
(512) 869-0559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5132 TX Primary

Addresses

Primary practice location

4701 Williams Dr
Suite 5
Georgetown, TX 78633-2056

Mailing address

4701 Williams Dr
Suite 5
Georgetown, TX 78633-2056
Phone (512) 869-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000671 TX Part B Supplier - Clinic/Group Practice 7315046729 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

4701 Williams Dr
Bldg 5
Georgetown, TX 78633
Phone (512) 869-0559

105 Wildwood Dr
Ste 212
Georgetown, TX 78633
Phone (512) 863-4333

4701 Williams Dr
Bldg 3
Georgetown, TX 78633
Phone (512) 869-0559

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1235332180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 WILLIAMS DR",
            "address_2": "SUITE 5",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332056",
            "telephone_number": "512-869-0559",
            "fax_number": "512-863-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 WILLIAMS DR",
            "address_2": "SUITE 5",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332056",
            "telephone_number": "512-869-0559",
            "fax_number": "512-863-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN HYLE O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "HYLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-869-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.