Organization Active NPI

Howerton Eye Clinic, PLLC

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1689086365
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G2318 Issued in TX
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, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200101801MedicaidTX
1811133507OtherTXNPI 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLC2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.