Central Texas Retina and Vitreous, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CENTRAL TEXAS RETINA AND VITREOUS, P.A.

Practice address

7200 N Mopac Expy
Suite 200
Austin, TX 78731-3069

Phone

(512) 241-1806

Fax

(512) 623-7892

NPI assigned

Sep 22, 2011

Last updated

Apr 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Smith, MDNPI 1063402295

Title

Physician

Phone

(512) 241-1806

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Reilly Smith, MD

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1063402295
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1992088389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N MOPAC EXPY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313069",
            "telephone_number": "512-241-1806",
            "fax_number": "512-623-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N MOPAC EXPY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313069",
            "telephone_number": "512-241-1806",
            "fax_number": "512-623-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS RETINA AND VITREOUS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-241-1806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287338201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DS2655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Central Texas Physical Therapy LLC
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• Central Texas Subspecialists for Children PLLC
• Central Texas Subspecialists for Children PLLC (Child Neurology Consultants of Austin)
• Central Texas Walk-in Clinic

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.

Verify at the official NPI Registry.