Active NPI
Howerton Eye Clinic, PLLC
- Ophthalmology Physician
- Austin, TX
National Provider Identifier
1689086365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G2318
- Legal business name
- HOWERTON EYE CLINIC, PLLC
- Practice address
- 5625 Eiger Rd Ste 100
Austin, TX 78735-8978 - Phone
- (512) 443-9715
- Fax
- (512) 443-9845
- NPI assigned
- May 29, 2014
- Organization subpart
- Yes
- Parent organization
- HOWERTON EYE CLINIC, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Douglas Kelly, MD
- Title
- Authorized Official
- Phone
- (512) 443-9715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G2318 | TX | Primary |
Addresses
Primary practice location
5625 Eiger Rd Ste 100
Austin, TX 78735-8978
Mailing address
2610 S Ih 35
Austin, TX 78704-5703
Phone (512) 443-9715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200101801 | Medicaid | TX | |
| 1811133507 | Other | TX | NPI 2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140612001959 | TX | DME Supplier - Physician - Ophthalmology | 5890850549 | Practice locations: Austin, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Howerton Eye Clinic PLLC
- Part of
- Howerton Eye Clinic PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Austin, TX
- NPI 1811133507
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ophthalmology Physician
- Austin, TX
- NPI 1811133507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1689086365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 S IH 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045703",
"telephone_number": "512-443-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 EIGER RD STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787358978",
"telephone_number": "512-443-9715",
"fax_number": "512-443-9845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWERTON EYE CLINIC, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOWERTON EYE CLINIC, PLLC",
"enumeration_date": "2014-05-29",
"last_updated": "2023-08-10",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "512-443-9715",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "G2318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200101801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 2",
"identifier": "1811133507",
"state": "TX"
}
],
"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 Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.