Individual provider Active NPI

Divya Pillai

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1851021828
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10919T Issued in TX
Practice address
4337 Teravista Club Dr
Round Rock, TX 78665-1646
Phone
(720) 051-2244
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10919T TX Primary

Addresses

Primary practice location

4337 Teravista Club Dr
Round Rock, TX 78665-1646

Mailing address

3451 Parkers Dr
Woodbury, MN 55125-8421

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
I20231018001017 TX Practitioner - Optometry 1456706977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians
Clarity Eye Center PLLCGroup PAC ID 0648343616, 4 clinicians

Practice addresses (Care Compare)

2600 Via Fortuna
Suite 400
Austin, TX 78746-7992
Phone (512) 327-4123

3204 Northwest Blvd
Georgetown, TX 78628-4201
Phone (512) 244-7200

4337 Teravista Club Dr
Suite 100
Round Rock, TX 78665-1647
Phone (512) 244-7200

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
82.5
Improvement activities
40
Cost
74.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10919TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eye Center PLLC CurrentSince Oct 6, 2023 Accepting new patients
Mann Eye Center, PA CurrentSince Feb 1, 2026 Accepting new patients
Mann Eye Center Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

4314 W Braker Ln
Austin, TX 78759
Phone (512) 327-4123

2600 Via Fortuna
Ste 400
Austin, TX 78746
Phone (512) 327-4123

3204 Northwest Blvd
Georgetown, TX 78628
Phone (512) 244-7200

4337 Teravista Club Dr
Round Rock, TX 78665
Phone (703) 655-2747

4337 Teravista Club Dr
Ste 100
Round Rock, TX 78665
Phone (512) 224-7200

301 Seton Pkwy
Ste 100
Round Rock, TX 78665
Phone (512) 244-7200

Interoperability endpoints

  • Direct secure messaging: dpillai@clarityeye.emadirect.md

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1851021828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PARKERS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 TERAVISTA CLUB DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651646",
            "telephone_number": "720-051-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAI",
        "first_name": "DIVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10919T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.