Active NPI
Muneeza Ali, OD
- Optometrist
- Austin, TX
National Provider Identifier
1790374072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9977TG
- Practice address
- 500 W Canyon Ridge Dr. Ste L300
Austin, TX 78753 - Phone
- (512) 837-3200
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9977TG | TX | Primary |
Addresses
Primary practice location
500 W Canyon Ridge Dr. Ste L300
Austin, TX 78753
Mailing address
500 Canyon Ridge Dr Ste L300
Austin, TX 78753-1650
Phone (512) 837-3200
Other practice location 1
8409 Sweetness Ln
Austin, TX 78750-3647
Phone (512) 669-8976
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9977TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallory Lynch, OD, PLLC | Optometrist | Current | Accepting new patients |
| Lester R Kitchen Optometrist Inc | Optometrist | Current | Accepting new patients |
Locations
500 Canyon Ridge Dr
Ste L300
Austin, TX 78753
Phone (512) 837-3200
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": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1790374072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CANYON RIDGE DR STE L300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787531650",
"telephone_number": "512-837-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CANYON RIDGE DR. STE L300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78753",
"telephone_number": "512-837-3200"
}
],
"practiceLocations": [
{
"address_1": "8409 Sweetness Ln",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787503647",
"country_code": "US",
"telephone_number": "512-669-8976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI",
"first_name": "MUNEEZA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9977TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.