Crystal Falls Vision Center – Optometrist, NPI 1962807586

Crystal Falls Vision Center is a healthcare provider. based in Round rock, Texas. specializing in Optometrist. The organization holds a License No. 6940TG (TX). The NPI Number for Crystal Falls Vision Center is 1962807586

Main info

Organization
Name
Crystal Falls Vision Center
NPI
1962807586
Phone
Not provided
Address
3807 SEBASTIAN CV
Authorized Official
DR. BRADLY MATHEW OPTOMETRIST/OWNER O.D.
Enumeration Date
24 October 2014
Last Update Date
24 October 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness80
Years active:11State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Crystal Falls Vision Center

  • 3807 SEBASTIAN CV

    ROUND ROCK, TX 786812332

    Phone:

    Type: Mailing

  • 3550 LAKELINE BLVD

    STE 180

    LEANDER, TX 78641

    Phone: (281) 235-3589

    Type: Location

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: 2015-02-27

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
O20150227000156OClinic/Group PracticeTXTBD

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 78681)

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Reviews

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Frequently asked questions

How is Crystal Falls Vision Center identified in CMS data?
CMS-hosted NPPES data lists Crystal Falls Vision Center with NPI 1962807586.
Is Crystal Falls Vision Center listed as active for patients and plans?
The listing shows Crystal Falls Vision Center as active in the NPI system.
What healthcare role does Crystal Falls Vision Center hold?
Scheduling teams often label Crystal Falls Vision Center under Optometrist. Clinical services aligned with this taxonomy classification.
Where is Crystal Falls Vision Center based?
Crystal Falls Vision Center is tied to Round Rock, Texas in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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