Active NPI
Kelsey L. Gray
- Optometrist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9892TG
- Practice address
- 4301 W William Cannon Dr
Austin, TX 78749-1473 - Phone
- (737) 275-5149
- NPI assigned
- Feb 12, 2018
- Last updated
- Oct 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9892TG | TX | Primary |
Addresses
Primary practice location
4301 W William Cannon Dr
Austin, TX 78749-1473
Mailing address
5416 Allamanda Dr
Austin, TX 78739-2120
Phone (218) 791-3139
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9600 S Interstate 35
Suite S225
Austin, TX 78748-3889
Phone (512) 291-0876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002635 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Vision Group, PLLC | Optometrist | Current | Accepting new patients |
| Dr Andrew C Kartesz and Assoc PC | Optometrist | Past | Accepting new patients |
Locations
1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968
9600 S Interstate 35
Ste S225
Austin, TX 78748
Phone (512) 291-0876
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, 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": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1275032609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5416 ALLAMANDA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787392120",
"telephone_number": "218-791-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W WILLIAM CANNON DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491473",
"telephone_number": "737-275-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "KELSEY",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9892TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.