Active NPI
Christopher A Vincent, O.D.
- Optometrist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7484
- Practice address
- 15004 Avery Ranch Blvd
Suite 103
Austin, TX 78717-4600 - Phone
- (512) 528-8299
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2240 | CO | |
| Optometrist | 152W00000X | 7484 | TX | Primary |
Addresses
Primary practice location
15004 Avery Ranch Blvd
Suite 103
Austin, TX 78717-4600
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2240 | Other | CO | STATE LISCENSURE NUMBER |
| 07484TG | Other | TX | OPTOMETRY LICENSE |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11645 Angus Rd
Suite 5
Austin, TX 78759-4020
Phone (512) 345-5641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2240 | CO | MD | Mental Health Counselor |
| 7484 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
Locations
2116 Hancock Dr
Austin, TX 78756
Phone (512) 371-0144
15004 Avery Ranch Blvd
Ste 103
Austin, TX 78717
Phone (512) 255-7070
11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
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.
-
- Optometrist
- Houston, TX
- NPI 1609348739
-
- Optometrist
- Austin, TX
- NPI 1669116687
-
- Optometrist
- Oklahoma City, OK
- NPI 1679440762
-
- Optometrist
- Silver Spring, MD
- NPI 1336204387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1356481972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15004 AVERY RANCH BLVD",
"address_2": "SUITE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787174600",
"telephone_number": "512-528-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2240",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSURE NUMBER",
"identifier": "2240",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE",
"identifier": "07484TG",
"state": "TX"
}
],
"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 May 26, 2022; 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.