NPIMap

Individual provider Active NPI

Darcy Lynn Grostick, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1922012814
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8526T Issued in TX
Practice address
4600 Mueller Blvd
Apt #4029
Austin, TX 78723-3186
Phone
(312) 593-4361
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009870 IL
Optometrist 152W00000X 8526T TX Primary

Addresses

Primary practice location

4600 Mueller Blvd
Apt #4029
Austin, TX 78723-3186

Mailing address

4600 Mueller Blvd
Apt #4029
Austin, TX 78723-3186
Phone (312) 593-4361

Other identifiers 6

IdentifierTypeStateIssuer
362492289OtherILTAX ID
1636706OtherILBCBS
7235044OtherILAETNA
211019OtherILMEDICARE GROUP
210209OtherILMEDICARE GROUP
046009870MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009870ILMDOptometrist
8526TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients
Eye Boutique, LLC Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients

Organizations & group practices 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1922012814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MUELLER BLVD",
            "address_2": "APT #4029",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233186",
            "telephone_number": "312-593-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MUELLER BLVD",
            "address_2": "APT #4029",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233186",
            "telephone_number": "312-593-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSTICK",
        "first_name": "DARCY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009870",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8526T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "362492289",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1636706",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "211019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "210209",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009870",
            "state": "IL"
        }
    ],
    "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 Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.