Organization Active NPI

My 20 20 LLC

  • Ophthalmology Physician
  • Leander, TX
National Provider Identifier
1053830109
Registry record updated Sep 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MY 20 20 LLC
Practice address
651 N Highway 183 Ste 210
Leander, TX 78641-7003
Phone
(512) 213-6464
NPI assigned
Sep 10, 2017
Last updated
Sep 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2017

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

Authorized official

Name
Jesse Devlyn
Title
Owner
Phone
(512) 213-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

651 N Highway 183 Ste 210
Leander, TX 78641-7003

Mailing address

2600 McHale CT
#180
Austin, TX 78758

National Provider Directory

National Provider Directory

Locations

651 N Highway 183
Ste 210
Leander, TX 78641
Phone (512) 213-6464

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505001600000",
    "number": "1053830109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MCHALE CT",
            "address_2": "#180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N HIGHWAY 183 STE 210",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417003",
            "telephone_number": "512-213-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY 20 20 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A",
        "authorized_official_last_name": "DEVLYN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-213-6464"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2017; 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.