Individual provider Active NPI

Clinton Stengel, O.D

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1487036612
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8726T Issued in TX
Practice address
1025 Sendero Springs Dr Ste 150
Round Rock, TX 78681-1154
Phone
(512) 660-5361
Fax
(512) 862-1843
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8726T TX Primary

Addresses

Primary practice location

1025 Sendero Springs Dr Ste 150
Round Rock, TX 78681-1154

Mailing address

832 Watson Way
Pflugerville, TX 78660-7832
Phone (281) 467-3896

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
I20151210000945 TX Practitioner - Optometry 0648571950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8726TXMDPeriodontist
8726TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Stengel and Associates PLLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 21, 2025 Accepting new patients

Locations

5501 N Interstate 35
Ste B
Austin, TX 78723
Phone (512) 451-0229

1025 Sendero Springs Dr
Round Rock, TX 78681
Phone (512) 660-5361

1025 Sendero Springs Dr
Ste 150
Round Rock, TX 78681
Phone (281) 467-3896

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1487036612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WATSON WAY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607832",
            "telephone_number": "281-467-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SENDERO SPRINGS DR STE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811154",
            "telephone_number": "512-660-5361",
            "fax_number": "512-862-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGEL",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8726T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.