Individual provider Active NPI

Cynthia Inge Wasser, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1558467407
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5165TG Issued in TX
Practice address
12221 N Mopac Expy
Austin, TX 78758-2401
Phone
(512) 901-4014
Fax
(512) 901-3914
NPI assigned
Sep 16, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 5165TG TX Primary

Addresses

Primary practice location

12221 N Mopac Expy
Austin, TX 78758-2401

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4014

Other identifiers 2

IdentifierTypeStateIssuer
210746801MedicaidTX
U5854MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CYNTHIA.WASSER@hca8.eclinicaldirectplus.com

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
I20060418000749 TX Practitioner - Optometry 3971512088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jon F Dietlein, M.D., P.a.Group PAC ID 4486676491, 3 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530

311 River Bend Dr
Georgetown, TX 78628-2782
Phone (512) 931-2255

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
64.52
Promoting interoperability
100
Improvement activities
40
Cost
73.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5165TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon F Dietlein MD PA Optometrist CurrentSince Sep 14, 2020 Accepting new patients
Jon F Dietlein, M.D., P.a. Optometrist CurrentSince Sep 14, 2020 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
The Austin Diagnostic Clinic, PLLC Optometrist CurrentSince Mar 24, 2009 Accepting new patients
Austin Diagnostic Clinic CurrentSince Mar 24, 2009 Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients
Austin Diagnostic Clinic Past Accepting new patients
Lakeline Vision, P.C. Optometrist PastSince May 1, 2012 Accepting new patients
Retina Consultants of Austin, PA Optometrist PastSince Aug 11, 2012 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

311 River Bend Dr
Georgetown, TX 78628
Phone (512) 931-2255

Interoperability endpoints

  • Direct secure messaging: 11230-wasser-cindy@direct.leadingreach.com

Organizations & group practices 10

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1558467407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4014",
            "fax_number": "512-901-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4014",
            "fax_number": "512-901-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSER",
        "first_name": "CYNTHIA",
        "middle_name": "INGE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5165TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210746801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U5854",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CYNTHIA.WASSER@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12221 N Mopac Expy",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787582401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.