Arbor Eye Center, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6206TG Issued in TX

Legal business name

ARBOR EYE CENTER, P.A.

Practice address

13343 N Highway 183
Ste. 260
Austin, TX 78750-7158

Phone

(512) 258-2120

Fax

(512) 258-2084

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Ann Crothers, O.D.

Title

President

Phone

(512) 258-2120

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Ellen Pearman Crothers, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1285747956
  Medicare reassignment Care Compare group NPD
• Michaela Thompson Novak, OD

  • Optometrist
  • Austin, TX
  • NPI 1780848879
  Medicare reassignment Care Compare group NPD
• Sima Taj Mozdbar, OD

  • Optometrist
  • Lakeway, TX
  • NPI 1598250607
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154469260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13343 N HIGHWAY 183",
            "address_2": "STE. 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507158",
            "telephone_number": "512-258-2120",
            "fax_number": "512-258-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13343 N HIGHWAY 183",
            "address_2": "STE. 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507158",
            "telephone_number": "512-258-2120",
            "fax_number": "512-258-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR EYE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROTHERS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-258-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6206TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TX",
            "identifier": "0032FF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Arata, LCSW
• Lizette Araujo
• Sam Suneel Arava, DDS
• Yazmine Araya, APRN, AGACNP-BC
• Arbor Dental Associates
• Arbor Family Medicine, PLLC
• Arbor Home Medical Equipment LLC
• Arbor Oaks Dental PLLC
• Arbor West
• Arboretum Austin Emergency Center, LLC

• All providers in Austin, TX
• Optometrist in Texas

• 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.
• 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.