Individual provider Active NPI

Karishma Nadia Jagnandan, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1538844048
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10885TG Issued in TX
Practice address
3601 W William Cannon Dr Ste 150
Austin, TX 78749-1533
Phone
(512) 441-8924
NPI assigned
Jun 21, 2023
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10885T TX
Optometrist 152W00000X 10885TG TX Primary

Addresses

Primary practice location

3601 W William Cannon Dr Ste 150
Austin, TX 78749-1533

Mailing address

3601 W William Cannon Dr Ste 150
Austin, TX 78749-1533

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
I20230803002661 TX Practitioner - Optometry 9032570288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berg En Dal PLLCGroup PAC ID 3779682018, 5 clinicians

Practice addresses (Care Compare)

3601 W William Cannon Dr
Suite 150
Austin, TX 78749-1533
Phone (512) 441-8924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10885TXMDChiropractor
10885TTXMDOptometrist
10885TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berg En Dal PLLC Optometrist Current Accepting new patients
Berg En Dal PLLC Optometrist CurrentSince Jul 18, 2024 Accepting new patients
Number 3 Properties, LLC Optometrist CurrentSince Jul 19, 2023 Accepting new patients

Locations

2407 S Congress Ave
Ste 100A
Austin, TX 78704
Phone (512) 233-6879

3601 W William Cannon Dr
Ste 150
Austin, TX 78749
Phone (512) 441-8924

19368 Ronald W Reagan Blvd
Ste 130
Georgetown, TX 78628
Phone (512) 660-7525

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1538844048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491533",
            "telephone_number": "512-441-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGNANDAN",
        "first_name": "KARISHMA",
        "middle_name": "NADIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10885T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10885TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.