Organization Active NPI

Optomed Eye Care PA

  • Optometrist
  • Austin, TX
National Provider Identifier
1083635809
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMED EYE CARE PA
Practice address
5555 N Lamar Blvd
E-115 Facing Guadalupe St
Austin, TX 78751-1073
Phone
(512) 836-9166
Fax
(512) 458-5303
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Gregory E Wright-Crowe, O.D.
Title
Owner
Phone
(512) 836-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5555 N Lamar Blvd
E-115 Facing Guadalupe St
Austin, TX 78751-1073

Mailing address

1508 Eva St
Austin, TX 78704-3011
Phone (512) 836-9166

National Provider Directory

National Provider Directory

Locations

5555 N Lamar Blvd
Ste E115
Austin, TX 78751
Phone (512) 458-5400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1083635809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 EVA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043011",
            "telephone_number": "512-836-9166",
            "fax_number": "512-458-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "E-115 FACING GUADALUPE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511073",
            "telephone_number": "512-836-9166",
            "fax_number": "512-458-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMED EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-CROWE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-836-9166",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 21, 2008; 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.