Texan Eye, PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

G3889 Issued in TX

Legal business name

TEXAN EYE, PA

Practice address

5717 Balcones Dr
Austin, TX 78731

Phone

(512) 327-7000

Fax

(512) 314-1662

NPI assigned

Jun 13, 2007

Organization subpart

Yes

Parent organization

TEXAN EYE, PAAs reported in NPPES

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

Authorized official

Name

Roberta M Moore

Title

Patient Account Manager

Phone

(512) 314-1632

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Texan Eye Care

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205813961
  NPPES parent name

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1043414014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN EYE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAN EYE, PA",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "512-314-1632"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "G3889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0J22H",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083126501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalini Tewari, MD
• Michelle A Tews, BCABA
• Texan Ambulatory Surgery Center
• Texan Ambulatory Surgery Center, LP
• Texan Anesthesiology Association, PA
• Texan Eye, PA
• Texan Eye, PA
• Texan Eye, PA
• Texan Eye, PA
• Texan Eye, PA

• Eyewear Supplier in Austin, TX
• Providers in Austin, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.