NPIMap

Organization Active NPI

Gregg E Kamnetz O.D., P.C.

  • Optometrist
  • Austin, TX
National Provider Identifier
1366748352
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3486TG Issued in TX
Legal business name
GREGG E KAMNETZ O.D., P.C.
Practice address
2712 Bee Cave Rd
Suite 118
Austin, TX 78746-5676
Phone
(512) 327-3605
Fax
(512) 327-3803
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Gregg Edward Kamnetz, ODNPI 1043258668
Title
President
Phone
(512) 327-3605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3486TG TX Primary

Addresses

Primary practice location

2712 Bee Cave Rd
Suite 118
Austin, TX 78746-5676

Mailing address

2712 Bee Cave Rd
Suite 118
Austin, TX 78746-5676
Phone (512) 327-3605

Other identifiers 1

IdentifierTypeStateIssuer
127227003MedicaidTX

Other names 1

  • Texas State Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000402 TX Part B Supplier - Clinic/Group Practice 7719149731 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2712 Bee Caves Rd
Ste 118
Austin, TX 78746
Phone (512) 327-3605

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1366748352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVE RD",
            "address_2": "SUITE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465676",
            "telephone_number": "512-327-3605",
            "fax_number": "512-327-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVE RD",
            "address_2": "SUITE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465676",
            "telephone_number": "512-327-3605",
            "fax_number": "512-327-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG E KAMNETZ O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "KAMNETZ",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-327-3605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3486TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127227003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.