Organization Active NPI

Liberty Hill Vision PLLC

  • Optometrist
  • Liberty Hill, TX
National Provider Identifier
1710796131
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LIBERTY HILL VISION PLLC
Practice address
14370 W State Highway 29
Ste 8
Liberty Hill, TX 78642-5795
Phone
(512) 515-5100
NPI assigned
Dec 31, 2024
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dr. Jeff Wineinger, OD
Title
Owner
Phone
(512) 981-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14370 W State Highway 29
Ste 8
Liberty Hill, TX 78642-5795

Mailing address

14370 W State Highway 29
Ste 8
Liberty Hill, TX 78642-5795
Phone (512) 515-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429002465 TX Part B Supplier - Clinic/Group Practice 7416473848 Receives reassigned benefits from 1 practitioner
Practice locations: Liberty Hill, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1710796131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14370 W STATE HIGHWAY 29",
            "address_2": "STE 8",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786425795",
            "telephone_number": "512-515-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14370 W STATE HIGHWAY 29",
            "address_2": "STE 8",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786425795",
            "telephone_number": "512-515-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HILL VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "WINEINGER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-981-9985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.