Individual provider Active NPI

W. Twelvis T Matthews, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1508207101
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8266T Issued in TX
Practice address
12229 Branston Dr
Austin, TX 78753-6864
Phone
(512) 924-6297
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002919 GA
Optometrist 152W00000X 8266T TX Primary

Addresses

Primary practice location

12229 Branston Dr
Austin, TX 78753-6864

Mailing address

12229 Branston Dr
Austin, TX 78753-6864
Phone (512) 924-6297

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
I20131028000660 TX Practitioner - Optometry 2365677499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

10515 N Mopac Expy
Suite 115
Austin, TX 78759-5324
Phone (512) 345-7290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002919GAMDOptometrist
8266TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision Group, PLLC Optometrist CurrentSince Feb 16, 2022 Accepting new patients

Locations

1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968

10515 N Mopac Expy
Ste 115
Austin, TX 78759
Phone (512) 345-7260

2601 S Interstate 35
Ste C100
Round Rock, TX 78664
Phone (512) 238-6887

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1508207101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12229 BRANSTON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536864",
            "telephone_number": "512-924-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12229 BRANSTON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536864",
            "telephone_number": "512-924-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "W. TWELVIS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002919",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8266T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.