Organization Active NPI

Belterra Eyecare PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1891216438
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7770T Issued in TX
Legal business name
BELTERRA EYECARE PLLC
Practice address
165 Hargraves Drive
Suite M600
Austin, TX 78737-7873
Phone
(785) 331-6939
Fax
(785) 331-6939
NPI assigned
Jul 5, 2017
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Robert Ramp, ODNPI 1467749564
Title
Owner
Phone
(512) 301-8664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7770T TX Primary

Addresses

Primary practice location

165 Hargraves Drive
Suite M600
Austin, TX 78737-7873

Mailing address

165 Hargraves Dr Ste M600
Austin, TX 78737-4815
Phone (512) 301-8664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180402000539 TX Part B Supplier - Clinic/Group Practice 4688936685 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

165 Hargraves Dr
Ste M600
Austin, TX 78737
Phone (512) 301-8664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1891216438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 HARGRAVES DR STE M600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374815",
            "telephone_number": "512-301-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HARGRAVES DRIVE",
            "address_2": "SUITE M600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787377873",
            "telephone_number": "785-331-6939",
            "fax_number": "785-331-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTERRA EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "RAMP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-301-8664",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7770T",
            "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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.