Individual provider Active NPI

Elizabeth Anne McDowell, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1679133631
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9781T Issued in TX
Practice address
3601 W William Cannon Dr Ste 150
Austin, TX 78749-1547
Phone
(512) 441-8924
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9781T TX Primary

Addresses

Primary practice location

3601 W William Cannon Dr Ste 150
Austin, TX 78749-1547

Mailing address

6001 Deerfield Dr
Texarkana, TX 75503-1489

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
I20190807003451 TX Practitioner - Optometry 6608103098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Vision PAGroup PAC ID 4385781004, 2 clinicians

Practice addresses (Care Compare)

4010 Sandy Brook Dr
Suite 101
Round Rock, TX 78665-1517
Phone (512) 388-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9781TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Vision PA Optometrist CurrentSince Jan 1, 2021 Accepting new patients

Locations

4010 Sandy Brook Dr
Ste 101
Round Rock, TX 78665
Phone (512) 388-7600

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1679133631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 DEERFIELD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W WILLIAM CANNON DR STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491547",
            "telephone_number": "512-441-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9781T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.