Individual provider Active NPI

Nathan Evan Osterman, O.D.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1437531381
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9443TG Issued in TX
Practice address
11901 W Parmer LN Ste 400
Cedar Park, TX 78613-7655
Phone
(512) 528-1144
Fax
(512) 528-1143
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004909 MI
Optometrist 152W00000X 9443TG TX Primary

Addresses

Primary practice location

11901 W Parmer LN Ste 400
Cedar Park, TX 78613-7655

Mailing address

586 5TH St
Ste 300
Brookings, OR 97415-9720
Phone (541) 469-7775

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
I20190222000318 TX Practitioner - Optometry 5991092272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterloo Eye AssociatesGroup PAC ID 6608802830, 4 clinicians

Practice addresses (Care Compare)

11901 W Parmer LN
Suite 400
Cedar Park, TX 78613-7655
Phone (512) 528-1144

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
94.38
Improvement activities
40
Cost
76.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9443TXMDAddiction (Substance Use Disorder) Counselor
4901004909MIMDOptometrist
9443TGTXMDOptometrist

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1437531381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 5TH ST",
            "address_2": "STE 300",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159720",
            "telephone_number": "541-469-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN STE 400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137655",
            "telephone_number": "512-528-1144",
            "fax_number": "512-528-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERMAN",
        "first_name": "NATHAN",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004909",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9443TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.