Organization Active NPI

Gaze Optometry, PLLC

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1750947891
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GAZE OPTOMETRY, PLLC
Practice address
2701 S Interstate 35
Round Rock, TX 78664-7320
Phone
(512) 388-2600
NPI assigned
May 14, 2019
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Kaity Shi Hoang, ODNPI 1851726715
Title
Owner, Optometrist
Phone
(347) 922-8158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2701 S Interstate 35
Round Rock, TX 78664-7320

Mailing address

4501 Destinys Gate Dr
Austin, TX 78727-2630

Other practice location 1

4078 Westheimer Rd Ste 1
Houston, TX 77027-5008
Phone (347) 922-8158

Other practice location 2

4700 E Palm Valley Blvd
Round Rock, TX 78665-2580
Phone (512) 246-0891

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Gazeoptometry@gmail.com
Other URL hello@roundrockeyedoctors.com
Other URL hello@roundrockeyedoctors.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200328000012 TX Part B Supplier - Clinic/Group Practice 1759710684 Receives reassigned benefits from 6 practitioners
Practice locations: Austin, TX; Round Rock, TX; Georgetown, TX

National Provider Directory

National Provider Directory

Locations

130 Sundance Pkwy
#130
Round Rock, TX 78681
Phone (512) 360-0493

2701 S Interstate 35
Ste 600
Round Rock, TX 78664

Practitioners & affiliated clinicians

Practitioners 6

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": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1750947891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 DESTINYS GATE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787272630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S INTERSTATE 35",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647320",
            "telephone_number": "512-388-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4078 Westheimer Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770275008",
            "country_code": "US",
            "telephone_number": "347-922-8158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 E Palm Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786652580",
            "country_code": "US",
            "telephone_number": "512-246-0891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAZE OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "KAITY",
        "authorized_official_middle_name": "SHI",
        "authorized_official_title_or_position": "OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "347-922-8158",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gazeoptometry@gmail.com",
            "affiliation": "N",
            "address_1": "4078 Westheimer Rd Ste 1",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770275008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hello@roundrockeyedoctors.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "2701 S Interstate 35",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786647320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hello@roundrockeyedoctors.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "4700 E Palm Valley Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786652580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.