WATERLOO EYE ASSOCIATES NPI 1407826415

NPI Information

NPI: 1407826415
Provider Name: WATERLOO EYE ASSOCIATES
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Doing Business As: HILL COUNTRY EYE CENTER
CLIA Number: 45D2022259
Address: 12171 W PARMER LN
SUITE 201
CEDAR PARK, TX
ZIP 78613
Phone: (512) 528-1144

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NPI Details

WATERLOO EYE ASSOCIATES is an ophthalmology in Cedar Park, 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. WATERLOO EYE ASSOCIATES NPI is 1407826415. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hill Country Eye Center.

The provider's business location address is:

12171 W PARMER LN
SUITE 201
CEDAR PARK, TX
ZIP 78613-361
Phone: (512) 528-1144
Fax: (512) 528-1143

The provider's authorized official is Vincent Anthony Restivo .
The authorized official title is President and has the following contact phone number (512) 528-1144.

The CLIA number assigned to this NPI record is 45D2022259 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 12/12/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist				No
2	207W00000X	Ophthalmology				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	173907001	MEDICAID	TEXAS
2	00084Z	MEDICARE PIN	TEXAS
3	0059MS	OTHER	TEXAS	BCBS OF TEXAS GROUP #

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: 11/21/2025

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