AUSTIN EYE CLINIC ASSOCIATION (NPI# 1952398141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952398141 |
| Entity Type | Organization |
| Organization Name | AUSTIN EYE CLINIC ASSOCIATION |
| Other Organization Name | AUSTIN EYE LASER AND SURGICENTER |
| Practice Address |
11901 Jollyville Rd Austin TX 78759-2303 |
| Practice Telephone | 5122502020 |
| Practice Fax Number | 5122502612 |
| Mailing Telephone | 5122502020 |
| Mailing Fax Number | 5122502612 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | SHANNON M WONG (CEO) |
| Authorized Official Telephone | 5122502020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | AUSTIN EYE CLINIC ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
007153 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS TX | HH1529 | 01 |
| Other Name | Type Code |
|---|---|
| Austin Eye Laser and Surgicenter | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2700 Bee Caves Rd, Austin, TX 787465675 | 5122502020 | 5122502612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457540221 | Austin Eye Clinic Association | Ophthalmology | 2700 Bee Caves Rd, Austin, TX 78746-5675 | 2007-10-17 |
| Street Address |
11901 JOLLYVILLE RD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753040 | Shannon M Wong | Optometrist | 11901 Jollyville Rd, Austin, TX 78759-2303 | 2005-07-08 |
| 1174757751 | Marie Bui | Ophthalmology | 11901 Jollyville Rd, Austin, TX 78759-2303 | 2009-05-11 |
| 1124224464 | John David Odette | Ophthalmology | 11901 Jollyville Rd, Austin, TX 78759-2303 | 2007-06-25 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400850 | Falconhead Surgery Center LLC | Clinic/Center | 14425 Falconhead Blvd, Bldf. F, Ste. 111, Austin, TX 78733 | 2020-06-04 |
| 1609400290 | Orthopaedic Associates of Central Texas Surgery Center, LLC | Clinic/Center | 7600 N Capital of Texas Hwy Ste A, Austin, TX 78731-1181 | 2020-02-24 |
| 1750913109 | Careos Surgicenter, LLC | Clinic/Center | 3705 Medical Pkwy Ste 110, Austin, TX 78705-1019 | 2020-02-04 |
| 1083176309 | Spicewood Surgery Center LLC | Clinic/Center | 13617 Caldwell Dr Ste 200, Austin, TX 78750-2324 | 2019-04-04 |
| 1205327277 | Austin Gi Surgicenter, LLC | Clinic/Center | 8015 Shoal Creek Blvd Ste 300, Austin, TX 78757-8052 | 2018-05-24 |
| 1568979805 | St Davids Austin Area Asc LLC | Clinic/Center | 12200 Renfert Way Ste G-2, Austin, TX 78758-5653 | 2018-01-09 |
| 1801317904 | Austin Kidney Associates, P. A. | Clinic/Center | 8620 Burnet Rd Ste 400, Austin, TX 78757-7034 | 2017-06-29 |
| 1750765632 | Four Points Surgery Center Lp | Clinic/Center | 10815 Ranch Road 2222, Ste 200, Austin, TX 78730-1159 | 2015-07-10 |
| 1306242888 | Dustin L. Reid Md Pa | Clinic/Center | 901 W 38th St Ste 405, Austin, TX 78705-1162 | 2014-11-12 |
| 1437597812 | Vivere Health Austin, LLC | Clinic/Center | 2200 Park Bend Dr Bldg 3, Ste 200, Austin, TX 78758-5387 | 2013-06-07 |
| 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.