Individual provider Active NPI

Thomas Robert Wilkins, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1821268848
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6638 Issued in TX
Practice address
2410 E Riverside Dr
Suite H-10
Austin, TX 78741-3083
Phone
(512) 344-9775
Fax
(512) 344-9827
NPI assigned
Mar 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6638 TX Primary

Addresses

Primary practice location

2410 E Riverside Dr
Suite H-10
Austin, TX 78741-3083

Mailing address

2410 E Riverside Dr
Suite H-10
Austin, TX 78741-3083
Phone (512) 344-9775

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
I20090210000114 TX Practitioner - Optometry 2466517370 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6638TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Captex Vision, PLLC Optometrist CurrentSince Dec 20, 2013 Accepting new patients
Aeg Texas Professional PLLC Optometrist PastSince Jan 15, 2018 Accepting new patients

Locations

2410 E Riverside Dr
Ste H10
Austin, TX 78741
Phone (512) 344-9775

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1821268848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 E RIVERSIDE DR",
            "address_2": "SUITE H-10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413083",
            "telephone_number": "512-344-9775",
            "fax_number": "512-344-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E RIVERSIDE DR",
            "address_2": "SUITE H-10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413083",
            "telephone_number": "512-344-9775",
            "fax_number": "512-344-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.