Active NPI
Emil B Fadel, O.D.
- Optometrist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6350T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159815301 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6350 | TX | MD | School Psychologist |
| 6350T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FD&I Group, LLC | Optometrist | Current | Accepting new patients |
| Net Vision Care LLC | Optometrist | Past | Accepting new patients |
| Ebf Eye Pro, LLC | Optometrist | Past | Accepting new patients |
| Lauren & Alex Eye Pro LLC | Optometrist | Past | Accepting new patients |
| Futureyes, Inc | Optometrist | Past | 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.
-
- Optometrist
- Katy, TX
- NPI 1447943261
-
- Optometrist
- Leander, TX
- NPI 1801559612
-
- Optometrist
- The Woodlands, TX
- NPI 1003246885
-
- Optometrist
- Hutto, TX
- NPI 1275246530
-
- Optometrist
- Katy, TX
- NPI 1801907860
-
- Optometrist
- El Paso, TX
- NPI 1356092803
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.