GREAT HILLS EYE CARE, PC (NPI# 1750634200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750634200 |
| Entity Type | Organization |
| Organization Name | GREAT HILLS EYE CARE, PC |
| Practice Address |
10401 Research Blvd Suite A Austin TX 78759-5712 |
| Practice Telephone | 5123452000 |
| Mailing Telephone | 5123452000 |
| Mailing Fax Number | 5123452002 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | DR. DREW PROVOST (PRESIDENT) |
| Authorized Official Telephone | 5129344444 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7799 | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659865749 | Great Hills Eye Care, PC | Optometrist | 1901 Kelly Ln Ste A, Pflugerville, TX 78660 | 2018-06-21 |
| Street Address |
10401 RESEARCH BLVD SUITE A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811007446 | Costco Wholesale Corporation | Pharmacy | 10401 Research Blvd, Austin, TX 78759 | 2006-08-30 |
| 1528673183 | Nancy Lisseth Butler | Pharmacist | 10401 Research Blvd, Austin, TX 78759-5712 | 2020-09-10 |
| 1538616743 | Raymond Thomas Carneglia IIi | Optometrist | 10401 Research Blvd, Austin, TX 78759-5712 | 2016-09-06 |
| 1215321369 | Costco Wholesale Corporation | Hearing Aid Equipment | 10401 Research Blvd, Austin, TX 78759-5712 | 2015-03-26 |
| 1508250903 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10401 Research Blvd, Austin, TX 78759-5712 | 2015-03-24 |
| 1689925174 | Uyen T Moras | Pharmacist | 10401 Research Blvd, Austin, TX 78759-5712 | 2012-09-25 |
| 1942576517 | Elizabeth F Rogers | Pharmacist | 10401 Research Blvd, Austin, TX 78759-5712 | 2012-03-28 |
| 1265707343 | James P Rodgers | Pharmacist | 10401 Research Blvd, Austin, TX 78759-5712 | 2012-03-21 |
| 1265707145 | Michael Clawson Boccieri | Pharmacist | 10401 Research Blvd, Austin, TX 78759-5712 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311880 | Eyecare of Austin, Pllc | Optometrist | 5621 N Interstate 35, Austin, TX 78723-2431 | 2020-09-16 |
| 1487266748 | Norin Ali | Optometrist | 1801 E 51st St Ste 360, Austin, TX 78723-3468 | 2020-08-18 |
| 1497366462 | Valeria Elizabeth Solis | Optometrist | 360 Nueces St Ste 70, Austin, TX 78701-4469 | 2020-08-13 |
| 1093324493 | Tien Pham | Optometrist | 1216 Dexford Dr, Austin, TX 78753-1602 | 2020-07-31 |
| 1073121463 | Vy Nguyen | Optometrist | 2205 N Shields Dr, Austin, TX 78727-4367 | 2020-07-21 |
| 1689297210 | Kayla Smith | Optometrist | 6836 Bee Caves Rd # 100, Austin, TX 78746-5059 | 2020-05-18 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1336792332 | Jimmy Yuan | Optometrist | 4825 Davis Ln Apt 538, Austin, TX 78749-4556 | 2019-07-18 |
| 1912567876 | Matheus M Ozbek | Optometrist | 2901 S Capital of Texas Hwy Ste F7, Austin, TX 78746-8118 | 2019-06-13 |
| 1073179891 | Tammy Phuong Nguyen | Optometrist | 5501 N Interstate 35 Ste B, Austin, TX 78723-2563 | 2019-05-16 |
| 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.