Active NPI
Courtney E Rhodes, OD
- Optometrist
- Austin, TX
National Provider Identifier
1427209014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 07168TG
- Practice address
- 211 Walter Seaholm Drive
Unit 140
Austin, TX 78701-3826 - Phone
- (512) 472-3937
- Fax
- (512) 472-3938
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 07168TG | TX | Primary |
Addresses
Primary practice location
211 Walter Seaholm Drive
Unit 140
Austin, TX 78701-3826
Mailing address
211 Walter Seaholm Drive
Unit 140
Austin, TX 78701-3826
Phone (512) 743-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07168TG | Other | TX | TEXAS OPTOMETRY LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07168TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregg E Kamnetz O.D., P.C. | Optometrist | Current | Accepting new patients |
Locations
2712 Bee Caves Rd
Ste 118
Austin, TX 78746
Phone (512) 327-3605
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.
-
- Optometrist
- Austin, TX
- NPI 1366748352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1427209014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 WALTER SEAHOLM DRIVE",
"address_2": "UNIT 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787013826",
"telephone_number": "512-743-5530",
"fax_number": "512-494-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 WALTER SEAHOLM DRIVE",
"address_2": "UNIT 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787013826",
"telephone_number": "512-472-3937",
"fax_number": "512-472-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "COURTNEY",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "07168TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS OPTOMETRY LICENSE",
"identifier": "07168TG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 28, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.