Active NPI
Mary Lauren Eaton, O.D.
- Optometrist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9068TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
107 Sheila Dr
Leander, TX 78641-1419
Phone (512) 259-8484
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1836-770AT | LA | MD | Optometrist |
| 9068TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leander Eye Care PC | Optometrist | Current | Accepting new patients |
| Westlake Eye Associates PLLC | Optometrist | Current | 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.
-
- Optometrist
- Leander, TX
- NPI 1417279480
-
- Optometrist
- Austin, TX
- NPI 1942594163
-
- Ophthalmology Physician
- Cedar Park, TX
- NPI 1932490943
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.