Individual provider Active NPI

Liana R Renteria, OD

  • Optometrist
  • W Lake Hills, TX
National Provider Identifier
1508433764
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10350T Issued in TX
Practice address
5656 Bee Caves Rd Ste F200
W Lake Hills, TX 78746-5236
Phone
(512) 472-4011
Fax
(512) 472-5057
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 10350T TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd Ste F200
W Lake Hills, TX 78746-5236

Mailing address

5656 Bee Caves Rd Ste F200
W Lake Hills, TX 78746-5236
Phone (512) 472-4011

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
I20220630000552 TX Practitioner - Optometry 3678953189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knolle and Young Associates PAGroup PAC ID 8921070624, 7 clinicians

Practice addresses (Care Compare)

5656 Bee Caves Rd
Suite F200
West Lake Hills, TX 78746-5236
Phone (512) 472-4011

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
Quality
80.96
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: lrenteria@westlakeeyes.intellechartdirect.net

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1508433764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE F200",
            "city": "W LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-472-4011",
            "fax_number": "512-472-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE F200",
            "city": "W LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-472-4011",
            "fax_number": "512-472-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "LIANA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10350T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.