Individual provider Active NPI

Amie R Bethel, O.D.

  • Optometrist
  • Pflugerville, TX
National Provider Identifier
1275500035
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05100TG Issued in TX
Practice address
16303 Yellow Sage St
Pflugerville, TX 78660-3529
Phone
(512) 251-4099
Fax
(512) 251-2941
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05100TG TX Primary

Addresses

Primary practice location

16303 Yellow Sage St
Pflugerville, TX 78660-3529

Mailing address

16303 Yellow Sage St
Pflugerville, TX 78660-3529
Phone (512) 251-4099

Other identifiers 1

IdentifierTypeStateIssuer
1016917-01MedicaidTX

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
I20040219000397 TX Practitioner - Optometry 3779478599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pflugerville Vision Care PAGroup PAC ID 4082509906, 3 clinicians

Practice addresses (Care Compare)

16303 Yellow Sage St
Pflugerville, TX 78660-3529
Phone (512) 251-4099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05100TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pflugerville Vision Care PA Optometrist CurrentSince Jun 1, 1998 Accepting new patients

Locations

2013 Wells Branch Pkwy
Ste 102
Austin, TX 78728
Phone (512) 251-4040

16303 Yellow Sage St
Pflugerville, TX 78660
Phone (512) 251-4040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1275500035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 YELLOW SAGE ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603529",
            "telephone_number": "512-251-4099",
            "fax_number": "512-251-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 YELLOW SAGE ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603529",
            "telephone_number": "512-251-4099",
            "fax_number": "512-251-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "AMIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05100TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016917-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.