NPIMap

Organization Active NPI

Hutto Eye Care PLLC

  • Optometrist
  • Hutto, TX
National Provider Identifier
1508003310
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7269TG Issued in TX
Legal business name
HUTTO EYE CARE PLLC
Practice address
401 Exchange Blvd BLDG 1
Hutto, TX 78634-5718
Phone
(512) 846-1004
Fax
(512) 846-1006
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Sarah Christene Johle, O.D.NPI 1326201450
Title
Optometrist/President
Phone
(512) 846-1004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7269TG TX Primary

Addresses

Primary practice location

401 Exchange Blvd BLDG 1
Hutto, TX 78634-5718

Mailing address

401 Exchange Blvd BLDG 1
Hutto, TX 78634-5718
Phone (512) 846-1004

Other identifiers 1

IdentifierTypeStateIssuer
1326201450OtherTXSARAH JOHLE, O.D - INDIVIDUAL NPI#

Other names 1

  • Hutto Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090922000050 TX Part B Supplier - Clinic/Group Practice 5496801144 Receives reassigned benefits from 5 practitioners
Practice locations: Hutto, TX

National Provider Directory

National Provider Directory

Locations

401 Exchange Blvd
Hutto, TX 78634
Phone (512) 806-7740

401 Exchange Blvd
Bldg 1
Hutto, TX 78634
Phone (512) 846-1004

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1508003310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EXCHANGE BLVD BLDG 1",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345718",
            "telephone_number": "512-846-1004",
            "fax_number": "512-846-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EXCHANGE BLVD BLDG 1",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345718",
            "telephone_number": "512-846-1004",
            "fax_number": "512-846-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTTO EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "JOHLE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "CHRISTENE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "512-846-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7269TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SARAH JOHLE, O.D - INDIVIDUAL NPI#",
            "identifier": "1326201450",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutto Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hutto Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.