Individual provider Active NPI

Raeann R Murray, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1437405131
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8053T Issued in TX
Practice address
4613 Bee Cave Rd #201
Austin, TX 78746
Phone
(512) 347-0700
Fax
(512) 347-0702
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 8053T TX Primary

Addresses

Primary practice location

4613 Bee Cave Rd #201
Austin, TX 78746

Mailing address

1117 Mason Bend Dr
Pflugerville, TX 78660-4930
Phone (512) 293-7474

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
I20120919000795 TX Practitioner - Optometry 8022266881 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8053TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Creek Eyecare PLLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Galleria Eyecare PLLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

2901 S Capital of Texas Hwy
Ste F7
Austin, TX 78746
Phone (512) 306-8949

12921 Hill Country Blvd
Ste D2-115
Bee Cave, TX 78738
Phone (512) 263-1023

11200 Lakeline Mall Dr
Ste E5
Cedar Park, TX 78613
Phone (512) 335-3098

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437405131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MASON BEND DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604930",
            "telephone_number": "512-293-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVE RD #201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-347-0700",
            "fax_number": "512-347-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "RAEANN",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8053T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.