Individual provider Active NPI

Jin Arthur Uehara, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1407653074
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11349TG Issued in TX
Practice address
10401 Research Blvd Ste a
Austin, TX 78759-5712
Phone
(512) 345-2000
Fax
(512) 345-2002
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11349TG TX Primary

Addresses

Primary practice location

10401 Research Blvd Ste a
Austin, TX 78759-5712

Mailing address

10401 Research Blvd Ste a
Austin, TX 78759-5712
Phone (512) 345-2000

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
I20250314002720 TX Practitioner - Optometry 5092237438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Hills Eye Care, PCGroup PAC ID 4981849841, 11 clinicians

Practice addresses (Care Compare)

10401 Research Blvd
A
Austin, TX 78759-5712
Phone (512) 345-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11349TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Hills Eye Care, PC Optometrist CurrentSince Mar 11, 2025 Accepting new patients
Great Hills Eye Care, PC Optometrist CurrentSince Mar 11, 2025 Accepting new patients
Great Hills Eye Care, PC Optometrist Current Accepting new patients

Locations

10401 Research Blvd
#A
Austin, TX 78759
Phone (512) 345-2000

10401 Research Blvd
Ste A
Austin, TX 78759
Phone (512) 345-2000

2201 N Interstate 35
Ste A
Georgetown, TX 78628
Phone (512) 793-7931

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1407653074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 RESEARCH BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595712",
            "telephone_number": "512-345-2000",
            "fax_number": "512-345-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 RESEARCH BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595712",
            "telephone_number": "512-345-2000",
            "fax_number": "512-345-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEHARA",
        "first_name": "JIN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11349TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.