Individual provider Active NPI

Matthew Philip Schukar, O.D.

  • Optometrist
  • Bastrop, TX
National Provider Identifier
1427490192
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8297-T Issued in TX
Practice address
87 Loop 150 W
Bastrop, TX 78602-3930
Phone
(512) 314-1613
Fax
(512) 314-1661
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8297-T TX Primary

Addresses

Primary practice location

87 Loop 150 W
Bastrop, TX 78602-3930

Mailing address

87 Loop 150 W
Bastrop, TX 78602-3930
Phone (512) 321-2106

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matt@txvisionclinic.com Direct

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
I20140117001666 TX Practitioner - Optometry 0345478459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Vision Clinic, PLLCGroup PAC ID 5193089225, 3 clinicians

Practice addresses (Care Compare)

87 Loop 150
Bastrop, TX 78602-3930
Phone (512) 321-2106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8297TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Vision Clinic PLLC CurrentSince Jan 1, 2018 Accepting new patients
Texas Vision Clinic PLLC Optometrist CurrentSince May 1, 2018 Accepting new patients

Locations

87 Loop 150 W
Bastrop, TX 78602
Phone (512) 321-2106

85 Loop 150 W
Bastrop, TX 78602
Phone (512) 303-7300

Organizations & group practices 2

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1427490192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-321-2106",
            "fax_number": "512-322-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-314-1613",
            "fax_number": "512-314-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUKAR",
        "first_name": "MATTHEW",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8297-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matt@txvisionclinic.com",
            "affiliation": "N",
            "endpointDescription": "Owner Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "87 Loop 150 W",
            "city": "Bastrop",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786023930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.