Active NPI
Julie Gorn, O.D.
- Optometrist
- Austin, TX
National Provider Identifier
1710112511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8622T
- Practice address
- 2901 S Capital of Texas Hwy
Austin, TX 78746-8101 - Phone
- (512) 329-6092
- Fax
- (512) 330-9941
- NPI assigned
- May 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006912 | NY | |
| Optometrist | 152W00000X | 8622T | TX | Primary |
Addresses
Primary practice location
2901 S Capital of Texas Hwy
Austin, TX 78746-8101
Mailing address
6303 Mountain Park CV
Austin, TX 78731-2611
Phone (201) 488-0696
Other practice location 1
401 RR 620 S Ste 210
Lakeway, TX 78734-5304
Phone (512) 263-9000
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
- Pennsylvania College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5621 N Ih
Suite 35
Austin, TX 78723-2431
Phone (512) 903-5770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006912 | NY | MD | Optometrist |
| 8622T | TX | MD | Optometrist |
| 006912 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare of Austin, PLLC | Optometrist | Current | Accepting new patients |
| Lake Travis Eye and Laser Center, PA | Past | Accepting new patients | |
| Skylight Optical Inc. | Past | Accepting new patients |
Locations
5621 N Interstate 35
Austin, TX 78723
Phone (512) 329-6092
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
- Austin, TX
- NPI 1992311880
-
- Ophthalmology Physician
- Lakeway, TX
- NPI 1629382023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1710112511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 MOUNTAIN PARK CV",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787312611",
"telephone_number": "201-488-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 S CAPITAL OF TEXAS HWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787468101",
"telephone_number": "512-329-6092",
"fax_number": "512-330-9941"
}
],
"practiceLocations": [
{
"address_1": "401 RR 620 S Ste 210",
"address_purpose": "LOCATION",
"city": "Lakeway",
"state": "TX",
"postal_code": "787345304",
"country_code": "US",
"telephone_number": "512-263-9000",
"fax_number": "512-263-9126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORN",
"first_name": "JULIE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006912",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8622T",
"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 Nov 27, 2017; 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.