Mozdbar Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOZDBAR EYECARE PLLC

Practice address

900 Ranch Road 620 S Ste B112
Lakeway, TX 78734-5623

Phone

(512) 263-0225

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sima Taj Mozdbar, ODNPI 1598250607

Title

Optometrist/Owner

Phone

(512) 921-4755

Specialties & licenses 1

Addresses

Other names 1

• Lakeway Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Sima Taj Mozdbar, OD

  • Optometrist
  • Lakeway, TX
  • NPI 1598250607
  Medicare reassignment NPD Authorized official
• Waleed M El-Hitamy, OD

  • Optometrist
  • Lakeway, TX
  • NPI 1407821903
  NPD (past)

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1114741501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 BAYSHORE BND",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RANCH ROAD 620 S STE B112",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345623",
            "telephone_number": "512-263-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOZDBAR EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MOZDBAR",
        "authorized_official_first_name": "SIMA",
        "authorized_official_middle_name": "TAJ",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "512-921-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeway Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Moore, MA, LMFT
• Todd L Moore, D.C.
• Marshall Wade Morgan, DDS MSD
• Steven Mark Morgan, DDS
• Jack Gregory Morper, M.D.
• Sima Taj Mozdbar, OD
• MPN2 Pharmacy MGT LLC
• MSC Health Texas LLC
• Susan Dee Mueller, M.D.
• David C Murdy, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.