Active NPI
Med Southwest, PLLC
- Optometrist
- Austin, TX
National Provider Identifier
1932054608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MED SOUTHWEST, PLLC
- Practice address
- 211 Walter Seaholm Dr Ste 140
Austin, TX 78701-0020 - Phone
- (512) 472-3937
- Fax
- (512) 473-3938
- NPI assigned
- Feb 27, 2026
- Last updated
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Ann Downes
- Title
- Secretary
- Phone
- (785) 492-5871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
211 Walter Seaholm Dr Ste 140
Austin, TX 78701-0020
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190221001481 | TX | Part B Supplier - Clinic/Group Practice | 4082952874 |
Receives reassigned benefits from 379 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Med Southwest PLLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Arlington, TX
- NPI 1811878762
-
- Optometrist
- Houston, TX
- NPI 1902723315
Locations
211 Walter Seaholm Dr
Ste 140
Austin, TX 78701
Phone (512) 472-3937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1932054608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 WALTER SEAHOLM DR STE 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787010020",
"telephone_number": "512-472-3937",
"fax_number": "512-473-3938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED SOUTHWEST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "785-492-5871"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Med Southwest, PLLC
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- Rachel Laura Medbery, M.D.
- Medco Respiratory Instruments, Inc (Aveanna Healthcare Medical Solutions)
- Medermis Laser Clinic (Tattoo Removal)
- Charles Maxwell Medert, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.