Individual provider Active NPI

Stephanie Marie Colorado, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1629380779
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7550 Issued in TX
Practice address
7415 Southwest Pkwy Ste 300
Austin, TX 78735-8998
Phone
(512) 328-7300
Fax
(512) 328-7302
NPI assigned
Jul 6, 2010
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7550 TX Primary

Addresses

Primary practice location

7415 Southwest Pkwy Ste 300
Austin, TX 78735-8998

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20110201000545 TX Practitioner - Optometry 9638365471 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, shared by 16 NPIs, 234 clinicians
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians
Lone Star Eye PLLCGroup PAC ID 6305028010, 3 clinicians

Practice addresses (Care Compare)

11645 Angus Rd
Suite 5
Austin, TX 78759-4020
Phone (512) 345-5641

3385 Naaman School Rd
Garland, TX 75040-8717
Phone (972) 496-2020

7415 Southwest Pkwy
Suite 300
Austin, TX 78735-8998
Phone (512) 328-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7550TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Creek Eyecare PLLC Optometrist CurrentSince Oct 25, 2021 Accepting new patients
Galleria Eyecare PLLC Optometrist CurrentSince Oct 25, 2021 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 21, 2021 Accepting new patients
Westlake Eyecare, PLLC Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Lone Star Eye PLLC Optometrist CurrentSince Nov 17, 2025 Accepting new patients
Med Southwest, PLLC Optometrist PastSince Nov 1, 2025 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

2901 S Capital of Texas Hwy
Ste F7
Austin, TX 78746
Phone (512) 306-8949

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

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

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

12921 Hill Country Blvd
Ste D2-115
Bee Cave, TX 78738
Phone (512) 263-1023

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

4613 Bee Caves Rd
Ste 201
West Lake Hills, TX 78746
Phone (512) 347-0700

Organizations & group practices 7

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1629380779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 SOUTHWEST PKWY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358998",
            "telephone_number": "512-328-7300",
            "fax_number": "512-328-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLORADO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.