Individual provider Active NPI

Maria Bontrager, OD

  • Optometrist
  • Elgin, TX
National Provider Identifier
1730814336
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2362 Issued in SC
Practice address
1320 Hwy 290 E
Elgin, TX 78621-1400
Phone
(512) 229-5911
Fax
(512) 677-6282
NPI assigned
Jul 19, 2022
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10528T TX
Optometrist 152W00000X 2362 SC Primary

Addresses

Primary practice location

1320 Hwy 290 E
Elgin, TX 78621-1400

Mailing address

1320 Hwy 290 E
Elgin, TX 78621-1400
Phone (512) 229-5911

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
I20250828002231 TX Practitioner - Optometry 2860991239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everyone Eyecare, P.C.Group PAC ID 7416364864, 3 clinicians

Practice addresses (Care Compare)

1320 Hwy 290 E
Elgin, TX 78621-1400
Phone (512) 229-5911

135 Creekside Way
New Braunfels, TX 78130-6248
Phone (830) 608-0448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10528TXMDAddiction (Substance Use Disorder) Counselor
2362SCMDOptometrist
10528TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Small Wonder Eyecare PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Everyone Eyecare, P.C. Optometrist CurrentSince Jul 20, 2025 Accepting new patients
Draisin Vision Group PA Optometrist PastSince Jul 1, 2022 Accepting new patients

Locations

1320 Hwy 290 E
Elgin, TX 78621
Phone (512) 229-5911

1320 Hwy 290 E
Elgin, TX 78621
Phone (512) 229-5911

1320 W US Highway 290
Elgin, TX 78621
Phone (512) 229-5911

135 Creekside Way
New Braunfels, TX 78130
Phone (830) 537-0739

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1730814336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 HWY 290 E",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786211400",
            "telephone_number": "512-229-5911",
            "fax_number": "512-677-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HWY 290 E",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786211400",
            "telephone_number": "512-229-5911",
            "fax_number": "512-677-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTRAGER",
        "first_name": "MARIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10528T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, TX

Sources for this page

Verify at the official NPI Registry.