Active NPI
Abilene Advanced Eyecare Inc.
- Optometrist
- Abilene, TX
National Provider Identifier
1104001643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TX6293TG
- Legal business name
- ABILENE ADVANCED EYECARE INC.
- Practice address
- 4734 S 14TH
Abilene, TX 79605-4733 - Phone
- (325) 692-9596
- Fax
- (325) 690-6191
- NPI assigned
- Jan 3, 2008
- Last updated
- Feb 15, 2008
- 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
- Dr. Gabriel Avila, O.D.
- Title
- Optometrist/Owner
- Phone
- (325) 692-9596
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 | TX6293TG | TX | Primary |
Addresses
Primary practice location
4734 S 14TH
Abilene, TX 79605-4733
Mailing address
4734 South 14TH
Abilene, TX 79605-4733
Phone (325) 692-9596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
719 W Main St
Eastland, TX 76448
Phone (254) 631-0200
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1104001643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4734 SOUTH 14TH",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054733",
"telephone_number": "325-692-9596",
"fax_number": "325-690-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4734 S 14TH",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054733",
"telephone_number": "325-692-9596",
"fax_number": "325-690-6191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABILENE ADVANCED EYECARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "AVILA",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "325-692-9596",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "TX6293TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
- Abi Counseling, PLLC
- Abifitz, LLC
- Abilen Oral and Maxillofacial Surgery Associates PLLC
- Abilene Absolute Recovery Solutions
- Abilene Adult Day Care
- Abilene Advanced Pain Institute
- Abilene Allergy PLLC
- Abilene Ambulatory Surgery Center for Pain Management, LLC (Ambulatory Surgery Center for Pain Management)
- Abilene Artificial Limb Co. LLP
- Abilene ASC LP (Abilene Endoscopy Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.