Individual provider Active NPI

Larissa Janelle Rodriguez, OD

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1730062019
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11501TG Issued in TX
Practice address
17261 Smyers LN Ste 100
Round Rock, TX 78681-2496
Phone
(512) 501-2100
Fax
(512) 827-2074
NPI assigned
Jul 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11501TG TX Primary

Addresses

Primary practice location

17261 Smyers LN Ste 100
Round Rock, TX 78681-2496

Mailing address

17261 Smyers LN Ste 100
Round Rock, TX 78681-2496
Phone (512) 501-2100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822004300 TX Practitioner - Optometry 9335649441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Vision Care, PLLCGroup PAC ID 2961697131, 4 clinicians

Practice addresses (Care Compare)

17261 Smyers LN
Suite 100
Round Rock, TX 78681-2496
Phone (512) 501-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11501TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Vision Care, PLLC Optometrist CurrentSince Aug 11, 2025 Accepting new patients

Locations

17261 Smyers Ln
Ste 100
Round Rock, TX 78681
Phone (512) 501-2100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1730062019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17261 SMYERS LN STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812496",
            "telephone_number": "512-501-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17261 SMYERS LN STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812496",
            "telephone_number": "512-501-2100",
            "fax_number": "512-827-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LARISSA",
        "middle_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11501TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.