Individual provider Active NPI

Chelsea Renee Wahl

  • Optometrist
  • Austin, TX
National Provider Identifier
1558716191
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9708T Issued in TX
Practice address
11500 Bee Caves Rd Ste 100
Austin, TX 78738-5545
Phone
(512) 494-5350
NPI assigned
May 2, 2016
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3319 TN
Optometrist 152W00000X 9708T TX Primary

Addresses

Primary practice location

11500 Bee Caves Rd Ste 100
Austin, TX 78738-5545

Mailing address

11500 Bee Caves Rd Ste 100
Austin, TX 78738-5545
Phone (228) 216-9103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161229001643 TN Practitioner - Optometry 0749561900
I20190612003603 TX Practitioner - Optometry 0749561900 Reassigns benefits to 2 organizations
I20241024003964 TX Practitioner - Physical Therapist in Private Practice 0749561900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Eye Group, PLLCGroup PAC ID 5092000497, 2 clinicians

Practice addresses (Care Compare)

11500 Bee Caves Rd
Suite 100
Austin, TX 78738-5545
Phone (512) 494-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9708TTXMDOptometrist
1247531TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Eye Group, PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Barr Physical Therapy, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Lone Star Eye PLLC Optometrist CurrentSince May 20, 2019 Accepting new patients
San Luis Walk-in Clinic, Inc. PastSince Sep 1, 2024 Accepting new patients
Barr Physical Therapy, P.C. Past Accepting new patients
Silver Spring Optometry, LLC Optometrist PastSince May 20, 2019 Accepting new patients

Locations

11500 FM 2244 Rd
Ste 100
Austin, TX 78738
Phone (512) 263-3937

7415 Southwest Pkwy
Bldg 6
Austin, TX 78735
Phone (512) 328-7300

7415 Southwest Pkwy
Ste 300
Austin, TX 78735
Phone (512) 328-7300

1102 Winkler Ave
Killeen, TX 76542
Phone (254) 634-8505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 6

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1558716191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 BEE CAVES RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385545",
            "telephone_number": "228-216-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 BEE CAVES RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385545",
            "telephone_number": "512-494-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "CHELSEA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3319",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9708T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.