Individual provider Active NPI

Carlos E Liranzo

  • Optometrist
  • Austin, TX
National Provider Identifier
1366019754
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10778 Issued in TX
Practice address
4211 S Lamar Blvd Ste E3
Austin, TX 78704-7978
Phone
(512) 916-4600
NPI assigned
Jun 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5922 FL
Optometrist 152W00000X 10778 TX Primary

Addresses

Primary practice location

4211 S Lamar Blvd Ste E3
Austin, TX 78704-7978

Mailing address

4009 Sabio Dr Apt 460
Austin, TX 78749-4818
Phone (407) 221-7427

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
I20230419003116 TX Practitioner - Optometry 2860877065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Freedom Eye Care PLLCGroup PAC ID 1052576436, 2 clinicians
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

4211 S Lamar Blvd
Suite E3
Austin, TX 78704-7978
Phone (512) 916-4600

4301 W William Cannon Dr
Suite 210
Austin, TX 78749-1473
Phone (512) 328-0015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5922FLMDOptometrist
10778TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Freedom Eye Care PLLC Optometrist CurrentSince Apr 4, 2023 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Maria Quintanilla OD PC Optometrist PastSince Mar 12, 2023 Accepting new patients

Locations

4301 W William Cannon Dr
#210
Austin, TX 78749
Phone (512) 328-0015

4211 S Lamar Blvd
Ste E3
Austin, TX 78704
Phone (512) 916-4600

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

4301 W William Cannon Dr
Ste 210
Austin, TX 78749
Phone (512) 328-0015

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

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": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366019754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 SABIO DR APT 460",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494818",
            "telephone_number": "407-221-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 S LAMAR BLVD STE E3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047978",
            "telephone_number": "512-916-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRANZO",
        "first_name": "CARLOS",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5922",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.