Individual provider Active NPI

Michael Adrian Chavez, O.D.

  • Corneal and Contact Management Optometrist
  • Austin, TX
National Provider Identifier
1851561740
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
6889TG Issued in TX
Practice address
1144 Airport Blvd
Ste 235
Austin, TX 78702-3163
Phone
(512) 928-5808
Fax
(512) 928-5722
NPI assigned
Mar 6, 2008
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6889TG TX
Corneal and Contact Management Optometrist 152WC0802X 6889TG TX Primary

Addresses

Primary practice location

1144 Airport Blvd
Ste 235
Austin, TX 78702-3163

Mailing address

1144 Airport Blvd
Ste 235
Austin, TX 78702-3163
Phone (512) 928-5808

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
I20081007000254 TX Practitioner - Optometry 7416025200 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6889TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Capitol, P.a. Optometrist CurrentSince Jun 15, 2012 Accepting new patients
Four Points Eye Center, PC Optometrist Past Accepting new patients

Locations

1144 Airport Blvd
Ste 235
Austin, TX 78702
Phone (512) 928-5808

15550 S Ih 35
Ste 107
Buda, TX 78610
Phone (512) 598-5981

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1851561740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD",
            "address_2": "STE 235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023163",
            "telephone_number": "512-928-5808",
            "fax_number": "512-928-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD",
            "address_2": "STE 235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023163",
            "telephone_number": "512-928-5808",
            "fax_number": "512-928-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MICHAEL",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6889TG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6889TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.