Eye Associates of Georgetown, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

05153TG Issued in TX

Legal business name

EYE ASSOCIATES OF GEORGETOWN, PLLC

Practice address

107A Wagon Wheel Trail
Georgetown, TX 78628-2404

Phone

(512) 863-4400

Fax

(512) 863-5261

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paige E Quinlivan, ODNPI 1225073414

Title

Owner/Optometrist

Phone

(512) 863-4400

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Paige Elizabeth Quinlivan, O.D.

  • Optometrist
  • Georgetown, TX
  • NPI 1225073414
  Medicare reassignment Care Compare group Authorized official
• David Michael Quinlivan, O.D.

  • Optometrist
  • Georgetown, TX
  • NPI 1891726642
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1043491228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107A WAGON WHEEL TRAIL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282404",
            "telephone_number": "512-863-4400",
            "fax_number": "512-863-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107A WAGON WHEEL TRAIL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282404",
            "telephone_number": "512-863-4400",
            "fax_number": "512-863-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF GEORGETOWN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "QUINLIVAN",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "512-863-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "U66991",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "U74650",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05153TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05212T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Rae Eubanks, M.A, CCC-SLP
• Pamela Evans, O.D.
• Evergreen Journey Counseling, PLLC
• Mary A Evers, DO
• Randall Dean Eversdyk, RN
• Eyemasters of Texas LTD
• Bennett J. Ezekiel, M.D.
• Katrina Anna Fairchild, LPC
• Fairfield Pumps LLC
• Faithworks Counseling Services PLLC

• Optometrist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.