EMILY STUDEBAKER (OD) – Optometrist, NPI 1093559817

EMILY STUDEBAKER (OD) is a healthcare provider. based in Round rock, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11219 (TX). The NPI Number for EMILY STUDEBAKER (OD) is 1093559817

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
EMILY STUDEBAKER (OD)
NPI
1093559817
Phone
(512) 244-7200
Address
4337 TERAVISTA CLUB DR STE 100
Enumeration Date
25 June 2024
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
5122447200
Graduation Year
2024 (2 years ago)
PAC ID
1850809906
Group Practice PAC ID
0648343616
Professional Enrollment ID
I20250731004138
Address ID
TX786651647RO4337XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for EMILY STUDEBAKER (OD)

  • 4337 TERAVISTA CLUB DR STE 100

    ROUND ROCK, TX 786651647

    Phone: (512) 244-7200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: CooperVision Inc. ($63).

Total Amount

$63

General + Research + Ownership

Payments

1

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$63
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250731004138IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78665)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648343616View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YMA

Reviews

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Frequently asked questions

What identifier follows EMILY STUDEBAKER (OD) across health systems?
The NPI 1093559817 uniquely identifies EMILY STUDEBAKER (OD) in U.S. healthcare data.
Should I treat EMILY STUDEBAKER (OD) as an active provider?
Patients and plans typically see EMILY STUDEBAKER (OD) as active in the national extract.
What type of care does EMILY STUDEBAKER (OD) provide?
EMILY STUDEBAKER (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to EMILY STUDEBAKER (OD)?
The directory associates EMILY STUDEBAKER (OD) with Round Rock, Texas. Check all listed addresses for suites or satellite offices.
Can I export EMILY STUDEBAKER (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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