Individual provider Active NPI

Michaela Thompson Novak, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1780848879
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010104 Issued in IL
Practice address
13343 N US Highway 183 Ste 260
Arbor Eye Center
Austin, TX 78750-7160
Phone
(512) 258-2120
Fax
(512) 258-2084
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010104 IL Primary

Addresses

Primary practice location

13343 N US Highway 183 Ste 260
Arbor Eye Center
Austin, TX 78750-7160

Mailing address

13343 N US Highway 183 Ste 260
Arbor Eye Center
Austin, TX 78750-7160
Phone (512) 258-2120

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
I20150417000190 TX Practitioner - Optometry 3274609367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbor Eye Center PA 2 clinicians

Practice addresses (Care Compare)

13343 N Hwy 183
Suite 215
Austin, TX 78750-7167
Phone (512) 258-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010104ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Eye Center, P.a. Optometrist CurrentSince Mar 19, 2015 Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

13343 N US Highway 183
Ste 260
Austin, TX 78750
Phone (512) 258-2120

13343 N US Highway 183
Ste 215
Austin, TX 78750
Phone (512) 258-2120

13343 N Highway 183
Austin, TX 78750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1780848879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13343 N US HIGHWAY 183 STE 260",
            "address_2": "ARBOR EYE CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507160",
            "telephone_number": "512-258-2120",
            "fax_number": "512-258-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13343 N US HIGHWAY 183 STE 260",
            "address_2": "ARBOR EYE CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507160",
            "telephone_number": "512-258-2120",
            "fax_number": "512-258-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MICHAELA",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.