Individual provider Active NPI

Ray Lester Sexton III, OD

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1497809065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TX02260T Issued in TX
Practice address
1734 N Mays St
Round Rock, TX 78664-2915
Phone
(512) 255-2660
Fax
(512) 255-2434
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TX02260T TX Primary

Addresses

Primary practice location

1734 N Mays St
Round Rock, TX 78664-2915

Mailing address

1734 N Mays St
Round Rock, TX 78664-2915
Phone (512) 255-2660

Other identifiers 1

IdentifierTypeStateIssuer
00E10KMedicaidTX

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
I20170830000462 TX Practitioner - Optometry 8921371733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett W Hamilton OD PAGroup PAC ID 3476693425, 3 clinicians

Practice addresses (Care Compare)

481 Sundance Pkwy
Suite 100
Round Rock, TX 78681-2079
Phone (512) 255-9995

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX02260TTXMDOptometrist
2260TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brett W Hamilton OD PA Optometrist CurrentSince Jul 5, 2017 Accepting new patients
Brett W Hamilton OD Optometrist Past Accepting new patients

Locations

481 Sundance Pkwy
Round Rock, TX 78681
Phone (512) 545-2331

1 Chisholm Trail Rd
Ste 2100
Round Rock, TX 78681
Phone (512) 255-9995

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497809065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 N MAYS ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642915",
            "telephone_number": "512-255-2660",
            "fax_number": "512-255-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 N MAYS ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642915",
            "telephone_number": "512-255-2660",
            "fax_number": "512-255-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "RAY",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX02260T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00E10K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.