LAKE TRAVIS EYE AND LASER CENTER, PA
NPI 1629382023
Ophthalmology in Lakeway, TX
About Lake Travis Eye And Laser Center, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE TRAVIS EYE AND LASER CENTER, PA (NPI 1629382023) is a healthcare organization registered as an ophthalmology in Lakeway, Texas and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Kyle Rhodes, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Lake Travis Eye And Laser Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Lake Travis Eye And Laser Center, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2108491
Lake Travis Eye And Laser Center · Lakeway, TXFrequently 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 Lake Travis Eye And Laser Center, PA's NPI number?
The NPI number for Lake Travis Eye And Laser Center, PA is 1629382023. It was assigned to this organization in the NPPES registry on July 28, 2010.
Where is Lake Travis Eye And Laser Center, PA located?
Lake Travis Eye And Laser Center, PA is located at 3503 Wild Cherry Dr Bldg 3, Lakeway, TX 78738. The listed phone number is (512) 263-9000.
What is Lake Travis Eye And Laser Center, PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Lake Travis Eye And Laser Center, PA enrolled in Medicare?
Yes. Lake Travis Eye And Laser Center, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Travis Eye And Laser Center, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lake Travis Eye And Laser Center, PA, in Ophthalmology and Optometry. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Travis Eye And Laser Center, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2108491) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Travis Eye And Laser Center, PA accept?
Health plans from Blue Cross and Blue Shield of Texas list Lake Travis Eye And Laser Center, PA 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 Lake Travis Eye And Laser Center, PA was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lake Travis Eye And Laser Center, Pa · NPI 1629382023
Ophthalmology organization in Lakeway, Texas. Organization record, active in the CMS NPPES registry since July 28, 2010.
## Identity
- **NPI:** 1629382023 (Entity type: Organization)
- **Enumerated:** July 28, 2010
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Rhodes, PRESIDENT
## Practice location
- **Address:** 3503 WILD CHERRY DR BLDG 3, Lakeway, TX 78738-1817
- **Phone:** (512) 263-9000 · **Fax:** (512) 263-9126
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (2), Optometry (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629382023) · Data from the CMS NPPES public registry.