Individual provider Active NPI

Stefanie Taing, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1740897958
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9980T Issued in TX
Practice address
4301 W William Cannon Dr
Austin, TX 78749-1473
Phone
(512) 328-0015
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9980T TX Primary

Addresses

Primary practice location

4301 W William Cannon Dr
Austin, TX 78749-1473

Mailing address

4301 W William Cannon Dr
Ste B210
Austin, TX 78749-1479
Phone (512) 698-7426

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
I20201124002499 TX Practitioner - Optometry 4284045121 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9980TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Optometrists PLLC Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Linh Lien OD, PLLC Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Lone Star Vision Group, PLLC Optometrist CurrentSince Oct 10, 2024 Accepting new patients
Munoz Eyecare PLLC Optometrist Past Accepting new patients
Aeg Texas Professional PLLC Optometrist PastSince Nov 20, 2020 Accepting new patients

Locations

500 E Ben White Blvd
Austin, TX 78704
Phone (512) 912-0920

500 E Ben White Blvd
Ste D600
Austin, TX 78704
Phone (512) 912-0920

1455 E Whitestone Blvd
Ste G145
Cedar Park, TX 78613
Phone (254) 615-1076

Organizations & group practices 5

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1740897958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W WILLIAM CANNON DR",
            "address_2": "STE B210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491479",
            "telephone_number": "512-698-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W WILLIAM CANNON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491473",
            "telephone_number": "512-328-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAING",
        "first_name": "STEFANIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9980T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.