Individual provider Active NPI

Terence Jansen, O.D.

  • Corneal and Contact Management Optometrist
  • Austin, TX
National Provider Identifier
1588757983
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TX3559 Issued in TX
Practice address
104 E Oltorf St
Austin, TX 78704-5529
Phone
(512) 442-2308
Fax
(512) 445-4546
NPI assigned
Sep 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 TX3559 TX
Corneal and Contact Management Optometrist 152WC0802X TX3559 TX Primary

Addresses

Primary practice location

104 E Oltorf St
Austin, TX 78704-5529

Mailing address

104 E Oltorf St
Austin, TX 78704-5529
Phone (512) 442-2308

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
I20070522000222 TX Practitioner - Optometry 3173620473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1983
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 78749-1547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX3559TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berg En Dal PLLC Optometrist CurrentSince Jul 13, 2017 Accepting new patients
Berg En Dal PLLC Optometrist CurrentSince Jul 13, 2017 Accepting new patients

Locations

104 E Oltorf St
Austin, TX 78704
Phone (512) 442-2308

106 E Oltorf St
Austin, TX 78704
Phone (512) 441-8924

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

Organizations & group practices 2

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1588757983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E OLTORF ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045529",
            "telephone_number": "512-442-2308",
            "fax_number": "512-445-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLTORF ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045529",
            "telephone_number": "512-442-2308",
            "fax_number": "512-445-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "TERENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX3559",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "TX3559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.