Individual provider Active NPI

Jennifer Huynh Catalasan, O.D.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1467716613
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8018TG Issued in TX
Practice address
3419 El Salido Pkwy Ste 100
Cedar Park, TX 78613-5639
Phone
(512) 918-3937
Fax
(512) 918-2028
NPI assigned
Jul 2, 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 8018TG TX Primary

Addresses

Primary practice location

3419 El Salido Pkwy Ste 100
Cedar Park, TX 78613-5639

Mailing address

3419 El Salido Pkwy Ste 100
Cedar Park, TX 78613-5639
Phone (512) 918-3937

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
I20120821001095 TX Practitioner - Optometry 1658528989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeline Vision, P.C.Group PAC ID 0244227486, 10 clinicians

Practice addresses (Care Compare)

3419 El Salido Pkwy
Suite 100
Cedar Park, TX 78613-5639
Phone (512) 918-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeline Vision, P.C. Optometrist CurrentSince Jul 1, 2017 Accepting new patients

Locations

3419 El Salido Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 918-3937

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467716613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 EL SALIDO PKWY STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135639",
            "telephone_number": "512-918-3937",
            "fax_number": "512-918-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 EL SALIDO PKWY STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135639",
            "telephone_number": "512-918-3937",
            "fax_number": "512-918-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALASAN",
        "first_name": "JENNIFER",
        "middle_name": "HUYNH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8018TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.