Organization Active NPI

Texas Vision, P. a.

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1013052190
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H9281 Issued in TX
Legal business name
TEXAS VISION, P. A.
Practice address
2901 North Shields Dr.
Ste. 100
Austin, TX 78727
Phone
(512) 345-5030
Fax
(512) 345-5048
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence Shawn Wong, M.D.NPI 1720066731
Title
President
Phone
(512) 345-5030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X H9281 TX Primary

Addresses

Primary practice location

2901 North Shields Dr.
Ste. 100
Austin, TX 78727

Mailing address

2901 North Shields Dr.
Suite 100
Austin, TX 78727
Phone (512) 345-5030

Other identifiers 1

IdentifierTypeStateIssuer
079651801MedicaidTX

Other names 1

  • Eyes of Texas Laser Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000803 TX Part B Supplier - Clinic/Group Practice 8729248802 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

4019 Spicewood Springs Rd
Ste 100
Austin, TX 78759
Phone (512) 345-5030

2901 North Shields Dr
Ste 100
Austin, TX 78727
Phone (512) 345-5030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1013052190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 NORTH SHIELDS DR.",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "512-345-5030",
            "fax_number": "512-345-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 NORTH SHIELDS DR.",
            "address_2": "STE. 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "512-345-5030",
            "fax_number": "512-345-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS VISION, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-345-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H9281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079651801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes of Texas Laser Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes of Texas Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.