Organization Active NPI

Dr Stengel and Associates PLLC

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1386298636
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR STENGEL AND ASSOCIATES PLLC
Practice address
1025 Sendero Springs Dr Ste 150
Round Rock, TX 78681-1154
Phone
(281) 467-3896
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Clinton Stengel, ODNPI 1487036612
Title
Owner
Phone
(281) 467-3896

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 Primary

Addresses

Primary practice location

1025 Sendero Springs Dr Ste 150
Round Rock, TX 78681-1154

Mailing address

610 Uptown Blvd Ste 2000
Cedar Hill, TX 75104-3528
Phone (817) 412-8723

Other names 1

  • Cedar Rock Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191011002639 TX Part B Supplier - Clinic/Group Practice 5597096172 Receives reassigned benefits from 1 practitioner
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

1025 Sendero Springs Dr
Round Rock, TX 78681
Phone (512) 660-5361

1025 Sendero Springs Dr
Ste 150
Round Rock, TX 78681
Phone (281) 467-3896

Practitioners & affiliated clinicians

Practitioners 1

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": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1386298636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "817-412-8723",
            "fax_number": "214-489-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SENDERO SPRINGS DR STE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811154",
            "telephone_number": "281-467-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STENGEL AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "STENGEL",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-467-3896",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Rock Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Rock Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.