NPIMap

Organization Active NPI

Eye Gyms PLLC

Doing business as Austin Eye Gym

  • Vision Therapy Optometrist
  • Cedar Park, TX
National Provider Identifier
1164766929
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
7041TG Issued in TX
Legal business name
EYE GYMS PLLC
Doing business as
Austin Eye Gym
Practice address
930 S Bell Blvd Ste 409
Cedar Park, TX 78613-3977
Phone
(512) 219-1700
Fax
(512) 237-7357
NPI assigned
Nov 18, 2012
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Mary Beck, OD, MED, FCOVD
Title
Optometrist
Phone
(512) 219-1700

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7041TG TX
Pediatric Optometrist 152WP0200X 7041TG TX
Sports Vision Optometrist 152WS0006X 7041TG TX
Vision Therapy Optometrist 152WV0400X 7041TG TX Primary
Occupational Vision Optometrist 152WX0102X 7041TG TX

Addresses

Primary practice location

930 S Bell Blvd Ste 409
Cedar Park, TX 78613-3977

Mailing address

930 S Bell Blvd Ste 409
Cedar Park, TX 78613-3977
Phone (512) 219-1700

Other identifiers 1

IdentifierTypeStateIssuer
7041TGOtherTXTEXAS BOARD OF OPTOMETRY

Other names 1

  • Austin Eye Gym Doing business as

National Provider Directory

National Provider Directory

Locations

930 S Bell Blvd
Ste 409
Cedar Park, TX 78613
Phone (512) 219-1700

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1164766929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S BELL BLVD STE 409",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133977",
            "telephone_number": "512-219-1700",
            "fax_number": "512-237-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S BELL BLVD STE 409",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133977",
            "telephone_number": "512-219-1700",
            "fax_number": "512-237-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE GYMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-18",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "512-219-1700",
        "authorized_official_credential": "OD, MED, FCOVD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7041TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "7041TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "7041TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "7041TG",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "7041TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OPTOMETRY",
            "identifier": "7041TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Eye Gym",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.