Individual provider Active NPI

Roxana Jean Hastings, OD

  • Optometrist
  • Sattler, TX
National Provider Identifier
1659485654
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5299T Issued in TX
Practice address
1387 Sattler Road Suite a
Sattler, TX 78132
Phone
(830) 964-3937
Fax
(928) 341-0881
NPI assigned
Aug 18, 2006
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1407 AZ
Optometrist 152W00000X 504 HI
Optometrist 152W00000X 5299T TX Primary

Addresses

Primary practice location

1387 Sattler Road Suite a
Sattler, TX 78132

Mailing address

1387 Sattler Road Suite a
Sattler, TX 78132
Phone (830) 964-3937

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
I20210504000070 TX Practitioner - Optometry 2567424088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1387 Sattler Rd
Unit a
New Braunfels, TX 78132-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1407AZMDProfessional Counselor
504HIMDMarriage & Family Therapist
5299TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Lake Eye Care PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

1387 Sattler Rd
Unit A
New Braunfels, TX 78132
Phone (830) 522-4069

Organizations & group practices 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1659485654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 SATTLER ROAD SUITE A",
            "city": "SATTLER",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "830-964-3937",
            "fax_number": "928-341-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 SATTLER ROAD SUITE A",
            "city": "SATTLER",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "830-964-3937",
            "fax_number": "928-341-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "ROXANA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1407",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "504",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5299T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.