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EYE CLINIC OF AUSTIN NPI 1023363926


NPI Information

NPI: 1023363926
Provider Name: EYE CLINIC OF AUSTIN

Doing Business As: EYE CLINIC OF AUSTIN

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 45D0888778

Address:
3410 FAR WEST BLVD STE 140
AUSTIN, TX
ZIP 78731
Phone: (512) 427-1107
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EYE CLINIC OF AUSTIN is an ophthalmology in Austin, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE CLINIC OF AUSTIN NPI is 1023363926. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Eye Clinic Of Austin.

The provider's business location address is:

3410 FAR WEST BLVD STE 140
AUSTIN, TX
ZIP 78731
Phone: (512) 427-1107
Fax: (512) 427-1208

The provider's authorized official is Mo Livermore .
The authorized official title is Practice Administrator and has the following contact phone number (512) 427-1107.

The CLIA number assigned to this NPI record is 45D0888778 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 10/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist06143TGTEXASNo
2207W00000XOphthalmologyF4863TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1313929702MEDICAIDTEXAS
2PENDINGMEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.