Organization Active NPI

Atx Eye Care, PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1083102479
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8470-TG Issued in TX
Legal business name
ATX EYE CARE, PLLC
Practice address
4409 Manchaca Rd
Austin, TX 78745-1603
Phone
(512) 443-4317
Fax
(512) 443-0882
NPI assigned
May 1, 2018
Organization subpart
Yes
Parent organization
ATHENA OPTOMETRIC VENTURES, LLLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Priyal Desai, OD
Title
Optometrist/Owner
Phone
(512) 443-4317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8470-TG TX Primary

Addresses

Primary practice location

4409 Manchaca Rd
Austin, TX 78745-1603

Mailing address

4409 Manchaca Rd
Austin, TX 78745-1603
Phone (512) 443-4317

Other names 1

  • Austin Eye Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1083102479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451603",
            "telephone_number": "512-443-4317",
            "fax_number": "512-443-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451603",
            "telephone_number": "512-443-4317",
            "fax_number": "512-443-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATX EYE CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA OPTOMETRIC VENTURES, LLLP",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PRIYAL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "512-443-4317",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8470-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Eye Care",
            "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 May 1, 2018; 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.