LARA DUDEK, MD PA (NPI# 1255584421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255584421 |
| Entity Type | Organization |
| Organization Name | LARA DUDEK, MD PA |
| Practice Address |
1109a E 6th St Austin TX 78702-3210 |
| Mailing Address |
Po Box 40999 Austin TX 78704-0999 |
| Practice Telephone | 5123265900 |
| Practice Fax Number | 5123265988 |
| Mailing Telephone | 5123265900 |
| Mailing Fax Number | 5123265988 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | DR. LARA T DUDEK (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5123265900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | M9984 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1740461136 | 01 |
| Street Address |
1109A E 6TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700973740 | Provista Eye Clinic | Ophthalmology | 1109a E 6th St, Austin, TX 78702-3210 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
| Find all providers in zip 78702 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| 1205221652 | Aliza Epstein | Ophthalmology | 3705 Medical Pkwy Ste 120, Austin, TX 78705-1022 | 2015-04-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| 1831444934 | Lake Austin Eye Pllc | Ophthalmology | 11614 Bee Caves Rd Ste 110, Austin, TX 78738-5551 | 2012-07-16 |
| 1184982977 | Peter Alan Ryg | Ophthalmology | 5011 Burnet Rd Fl 2, Austin, TX 78756-2653 | 2012-04-30 |
| 1902126105 | Megan Mcree Geloneck | Ophthalmology | 11111 Research Blvd Ste 240, Austin, TX 78759-5264 | 2010-06-10 |
| 1831414333 | Sonja Dieterichs | Ophthalmology | 1102 Carlotta Ln, Austin, TX 78733-1527 | 2010-03-29 |
| 1639311194 | Divya M. Varu | Ophthalmology | 901 Mopac Expy S, Barton Oaks Plaza Iv, Suite 350, Austin, TX 78746 | 2009-03-30 |
| 1669612891 | Craig Charles Kuglen Sr. | Ophthalmology | 1310 Rockcliff Rd, Austin, TX 78746-1205 | 2009-02-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.