Individual provider Active NPI

Emil B Fadel, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1972509164
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6350T Issued in TX
Practice address
10000 Research Blvd
Ste 150
Austin, TX 78759-5854
Phone
(512) 345-5642
Fax
(512) 345-1046
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6350T TX Primary

Addresses

Primary practice location

10000 Research Blvd
Ste 150
Austin, TX 78759-5854

Mailing address

10000 Research Blvd
Ste 150
Austin, TX 78759-5854
Phone (512) 345-5642

Other identifiers 1

IdentifierTypeStateIssuer
159815301MedicaidTX

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
I20050726000925 TX Practitioner - Optometry 6608803150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fdandi Group, LLCGroup PAC ID 2567825789, 6 clinicians

Practice addresses (Care Compare)

1540 S Mason Rd
Suite C
Katy, TX 77450-4574
Phone (281) 693-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6350TXMDSchool Psychologist
6350TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
FD&I Group, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Net Vision Care LLC Optometrist PastSince Feb 7, 2022 Accepting new patients
Ebf Eye Pro, LLC Optometrist Past Accepting new patients
Lauren & Alex Eye Pro LLC Optometrist PastSince Jan 8, 2023 Accepting new patients
Futureyes, Inc Optometrist PastSince Jun 20, 2023 Accepting new patients

Locations

2900 W Anderson Ln
Ste G
Austin, TX 78757
Phone (512) 337-1000

1540 S Mason Rd
Ste C
Katy, TX 77450
Phone (281) 693-1616

1443 S Mason Rd
Ste A
Katy, TX 77450
Phone (281) 693-1616

11334 Potranco Rd
Ste 104
San Antonio, TX 78253
Phone (210) 317-2020

4000 Pond Hill Rd
Ste 201
San Antonio, TX 78231
Phone (210) 239-2020

11330 Potranco Rd
Ste 104
San Antonio, TX 78253

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1972509164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 RESEARCH BLVD",
            "address_2": "STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595854",
            "telephone_number": "512-345-5642",
            "fax_number": "512-345-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 RESEARCH BLVD",
            "address_2": "STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595854",
            "telephone_number": "512-345-5642",
            "fax_number": "512-345-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEL",
        "first_name": "EMIL",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6350T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159815301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.