Active NPI
Lifetime Vision Care Texas, PLLC
- Optometrist
- Round Rock, TX
National Provider Identifier
1053704940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7253TG
- Legal business name
- LIFETIME VISION CARE TEXAS, PLLC
- Doing business as
- Lifetime Vision Care
- Practice address
- 408 N Mays St
Round Rock, TX 78664-4317 - Phone
- (512) 244-2003
- Fax
- (512) 949-5120
- NPI assigned
- Mar 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Eugenio, O.D.
- Title
- President/Owner
- Phone
- (512) 244-2003
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7253TG | TX | Primary |
Addresses
Primary practice location
408 N Mays St
Round Rock, TX 78664-4317
Mailing address
408 N Mays St
Round Rock, TX 78664-4317
Phone (512) 244-2003
Other names 1
- Lifetime Vision Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Austin, TX
- NPI 1770730921
-
- Optometrist
- Georgetown, TX
- NPI 1811146343
-
- Optometrist
- Cedar Park, TX
- NPI 1477700060
-
- Vision Therapy Optometrist
- Round Rock, TX
- NPI 1568442846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426464000000",
"number": "1053704940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N MAYS ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644317",
"telephone_number": "512-244-2003",
"fax_number": "512-949-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N MAYS ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644317",
"telephone_number": "512-244-2003",
"fax_number": "512-949-5120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME VISION CARE TEXAS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A",
"authorized_official_last_name": "EUGENIO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "512-244-2003",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "7253TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifetime Vision Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.