Individual provider Active NPI

Stephen Hyle, OD

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1396804886
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5132 Issued in TX
Practice address
4701 Williams Dr
Suite 5
Georgetown, TX 78633-2056
Phone
(512) 869-0559
Fax
(512) 863-0559
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5132 TX Primary

Addresses

Primary practice location

4701 Williams Dr
Suite 5
Georgetown, TX 78633-2056

Mailing address

4701 Williams Dr
Suite 5
Georgetown, TX 78633-2056
Phone (512) 869-0559

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
I20070626000667 TX Practitioner - Optometry 2961501374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4701 Williams Dr
Building 3
Georgetown, TX 78633-2061
Phone (512) 869-0559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1396804886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 WILLIAMS DR",
            "address_2": "SUITE 5",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332056",
            "telephone_number": "512-869-0559",
            "fax_number": "512-863-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 WILLIAMS DR",
            "address_2": "SUITE 5",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332056",
            "telephone_number": "512-869-0559",
            "fax_number": "512-863-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLE",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.