TRISTAN L WILD OD PLLC
NPI 1548917172
Optometrist in Lakeway, TX
About Tristan L Wild Od Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRISTAN L WILD OD PLLC (NPI 1548917172), doing business as Lakeway Vision Associates, is a healthcare organization registered as an optometrist in Lakeway, Texas and active in the NPI registry since March 2022. The organization lists Tristan Wild, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tristan L Wild Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tristan L Wild Od PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tristan L Wild Od PLLC's NPI number?
The NPI number for Tristan L Wild Od PLLC is 1548917172. It was assigned to this organization in the NPPES registry on March 3, 2022. The provider is doing business as Lakeway Vision Associates.
Where is Tristan L Wild Od PLLC located?
Tristan L Wild Od PLLC is located at 1700 Ranch Road 620 S Ste A, Lakeway, TX 78734. The listed phone number is (512) 263-9970.
What is Tristan L Wild Od PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tristan L Wild Od PLLC enrolled in Medicare?
Yes. Tristan L Wild Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tristan L Wild Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Tristan L Wild Od PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tristan L Wild Od PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Tristan L Wild Od PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tristan L Wild Od PLLC was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tristan L Wild Od Pllc · NPI 1548917172
Optometrist organization in Lakeway, Texas. Organization record, active in the CMS NPPES registry since March 3, 2022.
## Identity
- **NPI:** 1548917172 (Entity type: Organization)
- **Enumerated:** March 3, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Lakeway Vision Associates (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tristan Wild, OWNER
## Practice location
- **Address:** 1700 RANCH ROAD 620 S STE A, Lakeway, TX 78734-6246
- **Phone:** (512) 263-9970 · **Fax:** (512) 895-9903
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1548917172) · Data from the CMS NPPES public registry.