Individual provider Active NPI

Courtney E Rhodes, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1427209014
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07168TG Issued in TX
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

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07168TGOtherTXTEXAS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000719 TX Practitioner - Optometry 8123182706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07168TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg E Kamnetz O.D., P.C. Optometrist CurrentSince Aug 7, 2024 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.

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

Verify at the official NPI Registry.