Vision Source of Crystal Falls – Optometrist, NPI 1427573930

Vision Source of Crystal Falls is a healthcare provider. based in Leander, Texas. specializing in Optometrist. The organization holds a License No. 8974TG (TX). The NPI Number for Vision Source of Crystal Falls is 1427573930

Main info

Organization
Name
Vision Source of Crystal Falls
NPI
1427573930
Phone
Not provided
Address
2906 S BAGDAD RD STE 250
Authorized Official
FARRAH KHOJA DOCTOR OF OPTOMETRY/OWNER OD
Enumeration Date
4 August 2017
Last Update Date
4 August 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness80
Years active:8State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Vision Source of Crystal Falls

  • South Bagdad Road, Leander, Williamson County, Texas, 78641, United States

    LEANDER, TX 786413274

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (651 days ago).

Enrollment records

1

Earliest due date

2024-08-31

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
O20190826002369OClinic/Group PracticeTX2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 78641)

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Reviews

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Frequently asked questions

What is the registry number for Vision Source of Crystal Falls?
The registry entry for Vision Source of Crystal Falls shows NPI 1427573930.
Should I treat Vision Source of Crystal Falls as an active provider?
Patients and plans typically see Vision Source of Crystal Falls as active in the national extract.
What does the directory say Vision Source of Crystal Falls does?
Insurance directories may phrase it differently, but here Vision Source of Crystal Falls maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to Vision Source of Crystal Falls?
Vision Source of Crystal Falls shows a connection to Leander, Texas in registry-derived data.
Can I export Vision Source of Crystal Falls's record?
You can download the official NPPES record; we summarize key fields for readability.

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