Ultimate Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

6067T Issued in TX

Legal business name

ULTIMATE EYE CARE

Practice address

14900 Avery Ranch Blvd
Suite B500
Austin, TX 78717

Phone

(512) 255-7987

Fax

(512) 255-4351

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jim Stuart Defeo

Title

Office Manager

Phone

(512) 255-7987

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Ultimate Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ultimate Eyecare

  • Optometrist
  • Austin, TX
  • NPI 1588931323
  NPD tax ID

Locations

Practitioners 2

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

• Vaughn F Brinegar, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1083622757
  Medicare reassignment Care Compare group
• Victoria Defeo, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1295743979
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1083806400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 AVERY RANCH BLVD",
            "address_2": "SUITE B500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-255-7987",
            "fax_number": "512-255-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 AVERY RANCH BLVD",
            "address_2": "SUITE B500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-255-7987",
            "fax_number": "512-255-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "DEFEO",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-255-7987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6067T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6389T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Kay Ulrich, LCSW
• Christina Ann Ulrich, B.C.B.A.
• Kevin Ulrich, LVN, LMT
• Kimberly Gene Ulrich
• Michelle E Ulrich, MSN, C.N.S.
• Ultimate Eyecare
• Ashley Grace Um
• Jennifer Umanzor, FNP-C
• Tom Umberger, LCSW
• Umemba Health, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.

Verify at the official NPI Registry.