Jordan Mutschink

Primary specialty

OptometristTaxonomy code 152W00000X

License

8746T Issued in TX

Practice address

747 Highway 71 W Ste a-550
Bastrop, TX 78602-4096

Phone

(512) 284-2570

NPI assigned

Aug 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allison Eye Care PLLC 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allison Eye Care, PLLC

  • Optometrist
  • Victoria, TX
  • NPI 1376088088
  Medicare reassignment Care Compare group NPD
• Bates & Harris O D Inc

  • Optometrist
  • Victoria, TX
  • NPI 1417973280
  NPD (past)
• Karen Henson OD PC

  • Optometrist
  • La Grange, TX
  • NPI 1639162019
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1366828253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 HIGHWAY 71 W STE A-550",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024096",
            "telephone_number": "512-284-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 HIGHWAY 71 W STE A-550",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024096",
            "telephone_number": "512-284-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTSCHINK",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8746T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dawn Moreno, AGACNP
• MSC Wound Care PLLC
• Layla Mubasher, LM
• Claudia Alicia Munoz
• Margaret Ellyn Musselman, APRN-BC
• Connor Roshea Nagle, DC
• Nan Otoupal PLLC
• National Nephrology Associates of Texas, L.P.
• Layla Lorrain Nations, M.A., L.P.C.
• Neal Spears, MD PA

• All providers in Bastrop, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.

Verify at the official NPI Registry.