Organization Active NPI

J. Emery P.a.

Doing business as Distinct Vision

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1134247018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5295TG Issued in TX
Legal business name
J. EMERY P.A.
Doing business as
Distinct Vision
Practice address
602 McNeil Rd
Suite 114
Round Rock, TX 78681-6704
Phone
(512) 310-7799
Fax
(512) 310-9370
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julia Emery, O.D.
Title
Ceo
Phone
(512) 310-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5295TG TX Primary

Addresses

Primary practice location

602 McNeil Rd
Suite 114
Round Rock, TX 78681-6704

Mailing address

602 McNeil Rd
Suite 114
Round Rock, TX 78681-6704
Phone (512) 310-7799

Other names 1

  • Distinct Vision Doing business as

National Provider Directory

National Provider Directory

Locations

602 McNeil Rd
Ste 114
Round Rock, TX 78681
Phone (512) 310-7799

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134247018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MCNEIL RD",
            "address_2": "SUITE 114",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816704",
            "telephone_number": "512-310-7799",
            "fax_number": "512-310-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MCNEIL RD",
            "address_2": "SUITE 114",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816704",
            "telephone_number": "512-310-7799",
            "fax_number": "512-310-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. EMERY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-310-7799",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5295TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinct Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.