Active NPI
Melissa Marie Poppenhusen, OD
- Optometrist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9666T
- Practice address
- 3801 N Capital of Texas Hwy Ste C100
Austin, TX 78746-1466 - Phone
- (512) 651-5186
- NPI assigned
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9666T | TX | Primary |
Addresses
Primary practice location
3801 N Capital of Texas Hwy Ste C100
Austin, TX 78746-1466
Mailing address
14403 Cypress Ridge Dr
Cypress, TX 77429-6308
Phone (281) 731-3163
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
Enrollment records 1
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
Practice addresses (Care Compare)
12700 Hill Country Blvd
Suite S 110
Bee Cave, TX 78738-6737
Phone (512) 263-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9666T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berg En Dal PLLC | Optometrist | Current | Accepting new patients |
| Gregg E Kamnetz O.D., P.C. | Optometrist | Current | Accepting new patients |
| Berg En Dal PLLC | Optometrist | Current | Accepting new patients |
| Elite Vision Group, PLLC | Optometrist | Current | Accepting new patients |
| Captex Vision, PLLC | Optometrist | Current | Accepting new patients |
Locations
3601 W William Cannon Dr
Ste 150
Austin, TX 78749
Phone (512) 441-8924
2712 Bee Caves Rd
Ste 118
Austin, TX 78746
Phone (512) 327-3605
12700 Hill Country Blvd
#110
Austin, TX 78738
2410 E Riverside Dr
Ste H10
Austin, TX 78741
Phone (512) 344-9775
12700 Hill Country Blvd
Ste S-110
Bee Cave, TX 78738
Phone (512) 263-0020
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.
-
- Optometrist
- Austin, TX
- NPI 1659713998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1679132278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14403 CYPRESS RIDGE DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774296308",
"telephone_number": "281-731-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 N CAPITAL OF TEXAS HWY STE C100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787461466",
"telephone_number": "512-651-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPENHUSEN",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9666T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.