Individual provider Active NPI

Julie Phan, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1740804004
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10430T Issued in TX
Practice address
2712 Bee Caves Rd Ste 118
Austin, TX 78746-5683
Phone
(512) 327-3605
Fax
(512) 327-3803
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10430T TX Primary

Addresses

Primary practice location

2712 Bee Caves Rd Ste 118
Austin, TX 78746-5683

Mailing address

2712 Bee Caves Rd Ste 118
Austin, TX 78746-5683
Phone (512) 327-3605

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
I20211008000061 TX Practitioner - Optometry 1759780919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Love Austin Eye Care PLLCGroup PAC ID 5991286965, 2 clinicians

Practice addresses (Care Compare)

2712 Bee Caves Rd
Suite 118
Austin, TX 78746-5683
Phone (512) 327-3605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10430TXMDGeneral Practice Dentistry
10430TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg E Kamnetz O.D., P.C. Optometrist CurrentSince Sep 11, 2024 Accepting new patients
Love Austin Eye Care PLLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients

Locations

2712 Bee Caves Rd
Ste 118
Austin, TX 78746
Phone (512) 327-3605

Organizations & group practices 2

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1740804004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVES RD STE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465683",
            "telephone_number": "512-327-3605",
            "fax_number": "512-327-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVES RD STE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465683",
            "telephone_number": "512-327-3605",
            "fax_number": "512-327-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "JULIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10430T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.