Canyon Lake Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CANYON LAKE EYE CARE PLLC

Practice address

1387 Sattler Rd Unit a
New Braunfels, TX 78132-2306

Phone

(830) 907-2813

Fax

(866) 772-0758

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sundip Patel, ODNPI 1255393757

Title

President

Phone

(830) 907-2813

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Sundip R Patel, O.D.

  • Optometrist
  • New Braunfels, TX
  • NPI 1255393757
  Medicare reassignment NPD Authorized official
• Roxana Jean Hastings, OD

  • Optometrist
  • Sattler, TX
  • NPI 1659485654
  Medicare reassignment NPD
• Charles Robert Dale Jr., OD

  • Optometrist
  • Blanco, TX
  • NPI 1407586167
  NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1124600564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 SATTLER RD UNIT A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322306",
            "telephone_number": "830-907-2813",
            "fax_number": "866-772-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 SATTLER RD UNIT A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322306",
            "telephone_number": "830-907-2813",
            "fax_number": "866-772-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LAKE EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNDIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-907-2813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo R. Canizales-Collazo, M.D.
• Cansecos Family Transport
• Ulysees T Cantero
• Amy Cantrell
• Anna Maria Cantu, RPH
• Canyon Lake Optical LLC
• Louisa Ringor Capicio, APRN FNP-BC
• Teresa Lynn Caratachea
• Kimberly Cardenas, SLP ASST
• Lindsey H Cardenas

• Optometrist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.