Individual provider Active NPI

Scott Allen Hruby, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1942275417
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05344T Issued in TX
Practice address
7801 N Lamar Blvd
Suite D-74
Austin, TX 78752-1016
Phone
(512) 452-4160
Fax
(512) 206-0808
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05344T TX Primary

Addresses

Primary practice location

7801 N Lamar Blvd
Suite D-74
Austin, TX 78752-1016

Mailing address

9009 N FM 620
Apt 604
Austin, TX 78726-4206
Phone (512) 751-1492

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
I20041221000857 TX Practitioner - Optometry 0648238790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05344TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision Group, PLLC Optometrist CurrentSince Nov 23, 2024 Accepting new patients
Scott Hruby OD Optometrist CurrentSince Jan 1, 1990 Accepting new patients

Locations

7801 N Lamar Blvd
Ste D74
Austin, TX 78752
Phone (512) 452-4060

9600 S Interstate 35
Ste S225
Austin, TX 78748
Phone (512) 291-0876

1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968

10515 N Mopac Expy
Ste 115
Austin, TX 78759
Phone (512) 345-7260

14005 Research Blvd
Ste 100
Austin, TX 78717
Phone (512) 257-0013

Organizations & group practices 2

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1942275417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 N FM 620",
            "address_2": "APT 604",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264206",
            "telephone_number": "512-751-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD",
            "address_2": "SUITE D-74",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521016",
            "telephone_number": "512-452-4160",
            "fax_number": "512-206-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUBY",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05344T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.