Individual provider Active NPI

Mary Lauren Eaton, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1689054629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9068TG Issued in TX
Practice address
9600 South Ih 35 SB S#225
Austin, TX 78748
Phone
(512) 291-0876
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1836-770AT LA
Optometrist 152W00000X 2844 OK
Optometrist 152W00000X 9068TG TX Primary

Addresses

Primary practice location

9600 South Ih 35 SB S#225
Austin, TX 78748

Mailing address

9600 South Ih 35 SB S#225
Austin, TX 78748
Phone (512) 291-0876

Other practice location 1

1100 N College Ave
Fayetteville, AR 72703-1944
Phone (479) 443-4301 ext. 69721

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
I20161105000013 TX Practitioner - Optometry 4789962127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leander Eye Care PCGroup PAC ID 0042349391, 5 clinicians

Practice addresses (Care Compare)

107 Sheila Dr
Leander, TX 78641-1419
Phone (512) 259-8484

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1836-770ATLAMDOptometrist
9068TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leander Eye Care PC Optometrist CurrentSince May 1, 2023 Accepting new patients
Westlake Eye Associates PLLC Optometrist CurrentSince Jan 29, 2020 Accepting new patients
Vision Center of Texas, PA Past Accepting new patients

Locations

107 Sheila Dr
Leander, TX 78641
Phone (512) 259-8484

3300 Bee Caves Rd
Ste 395
West Lake Hills, TX 78746
Phone (512) 327-3130

Organizations & group practices 3

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689054629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SOUTH IH 35 SB S#225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-291-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SOUTH IH 35 SB S#225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-291-0876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031944",
            "country_code": "US",
            "telephone_number": "479-443-4301 x69721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "MARY",
        "middle_name": "LAUREN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1836-770AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2844",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9068TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.