Individual provider Active NPI

Matthew Cody Lubeck, O.D.

  • Optometrist
  • Bee Cave, TX
National Provider Identifier
1851733612
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8185-T Issued in TX
Practice address
12700 Hill Country Galleria Blvd
Suite S110
Bee Cave, TX 78738
Phone
(512) 263-0020
NPI assigned
Jul 22, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8185-T TX Primary

Addresses

Primary practice location

12700 Hill Country Galleria Blvd
Suite S110
Bee Cave, TX 78738

Mailing address

12700 Hill Country Galleria Blvd
Suite S110
Bee Cave, TX 78738
Phone (512) 263-0020

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
I20141028000477 TX Practitioner - Optometry 9638390057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11200 Lakeline Mall Dr
Suite E5
Cedar Park, TX 78613-1504
Phone (512) 401-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8185-TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Creek Eyecare PLLC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Galleria Eyecare PLLC Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Precision Vision TX PLLC Optometrist CurrentSince Mar 20, 2023 Accepting new patients

Locations

2901 S Capital of Texas Hwy
Ste F7
Austin, TX 78746
Phone (512) 306-8949

12921 Hill Country Blvd
Ste D2-115
Bee Cave, TX 78738
Phone (512) 263-1023

11200 Lakeline Mall Dr
Ste E5
Cedar Park, TX 78613
Phone (512) 335-3098

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1851733612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 HILL COUNTRY GALLERIA BLVD",
            "address_2": "SUITE S110",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-263-0020",
            "fax_number": "512-263-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILL COUNTRY GALLERIA BLVD",
            "address_2": "SUITE S110",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-263-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBECK",
        "first_name": "MATTHEW",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8185-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

Verify at the official NPI Registry.