Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawn Matsumoto, OD

Individual provider Optometrist · NPI 1639069081

Shawn Matsumoto, OD is an Optometry in Round Rock, Texas. Graduated from State University of New York - State College Optometry in 2025, 1 year ago. Practices with Jandw Vision Associates, PLLC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Trained at
State University of New York - State College Optometry
Licensed in
TX
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2150 E Palm Valley Blvd Ste 300
Round Rock, TX 78665-1532
Phone: (512) 817-0033
Fax: (512) 817-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6929 Airport Blvd Ste 165, Austin, TX 78752-3616 — (512) 580-9035
  • 12901 N Interstate 35 Ste 1305b, Austin, TX 78753-1019 — (512) 886-0023

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11366TG (TX)

Record details

NPI number1639069081
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Jandw Vision Associates, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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