Individual provider Active NPI

Alyssa Celeste Garza, OD

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1629637574
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9677 Issued in TX
Practice address
501 S Austin Ave Unit 1145
Georgetown, TX 78626-5640
Phone
(737) 225-8644
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9677 TX Primary

Addresses

Primary practice location

501 S Austin Ave Unit 1145
Georgetown, TX 78626-5640

Mailing address

501 S Austin Ave Unit 1145
Georgetown, TX 78626-5640
Phone (737) 225-8644

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
I20190819003311 TX Practitioner - Optometry 6608104393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Vision Group PLLCGroup PAC ID 4284016031, 2 clinicians
Blink Boutique Eyecare and Eyewear PLLCGroup PAC ID 1254775281, 2 clinicians

Practice addresses (Care Compare)

1455 E Whitestone Blvd
Suite G145
Cedar Park, TX 78613-7722
Phone (254) 615-1082

501 S Austin Ave
Unit 1145
Georgetown, TX 78626-5640
Phone (737) 225-8644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9677TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Vision Group, PLLC Optometrist CurrentSince Dec 27, 2023 Accepting new patients
Blink Boutique Eyecare & Eyewear PLLC Optometrist CurrentSince Jan 29, 2024 Accepting new patients
Vision Center of Texas, PA PastSince Jul 1, 2019 Accepting new patients
Lauren & Alex Eye Pro LLC Optometrist PastSince Jan 8, 2023 Accepting new patients

Locations

1455 E Whitestone Blvd
Ste G145
Cedar Park, TX 78613
Phone (254) 615-1076

501 S Austin Ave
Unit 1145
Georgetown, TX 78626
Phone (737) 225-8644

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1629637574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE UNIT 1145",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265640",
            "telephone_number": "737-225-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE UNIT 1145",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265640",
            "telephone_number": "737-225-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "ALYSSA",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.