Individual provider Active NPI

Riddhi Gohel, OD

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1346722246
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9593TG Issued in TX
Practice address
11200 Lakeline Mall Dr Ste H5
Cedar Park, TX 78613
Phone
(512) 257-7070
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9593TG TX Primary

Addresses

Primary practice location

11200 Lakeline Mall Dr Ste H5
Cedar Park, TX 78613

Mailing address

5337 Ponte Tresa Dr
Bee Cave, TX 78738-4170
Phone (469) 606-9686

Other practice location 1

10000 Research Blvd Ste 150
Austin, TX 78759-5814
Phone (512) 345-5642

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
I20181005000173 TX Practitioner - Optometry 4981956778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3651 Hwy 183
Suite 190
Leander, TX 78641-5786
Phone (512) 547-8493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9593TXMDGeneral Practice Dentistry
9593TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren & Alex Eye Pro LLC Optometrist CurrentSince Oct 8, 2023 Accepting new patients
Wink Optical and Eye Care PLLC Optometrist CurrentSince Sep 30, 2023 Accepting new patients
Focus Vision & Eye Care, PLLC Optometrist CurrentSince Sep 30, 2019 Accepting new patients
Lauren & Alex Eye Pro LLC Optometrist PastSince Jan 8, 2023 Accepting new patients

Locations

4909 Gattis School Rd
Ste 105
Hutto, TX 78634
Phone (512) 617-3155

5002 Gattis School Rd
Ste 100
Hutto, TX 78634
Phone (512) 243-7858

651 N Highway 183
Ste 265
Leander, TX 78641
Phone (512) 345-5642

651 N Highway 183
#256
Leander, TX 78641
Phone (512) 980-6700

3651 Highway 183
Ste 190
Leander, TX 78641
Phone (512) 547-8493

Organizations & group practices 4

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1346722246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 PONTE TRESA DR",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787384170",
            "telephone_number": "469-606-9686",
            "fax_number": "888-975-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LAKELINE MALL DR STE H5",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "512-257-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Research Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595814",
            "country_code": "US",
            "telephone_number": "512-345-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOHEL",
        "first_name": "RIDDHI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9593TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.