Eye of the Heart, PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27129 Issued in TX

Legal business name

EYE OF THE HEART, PA

Practice address

4403 Manchaca Rd
Suite D
Austin, TX 78745-1680

Phone

(512) 297-8717

Fax

(888) 395-2986

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Alisa Monique CarrNPI 1457451114

Title

Licensed Clinical Social Worker

Phone

(512) 297-8717

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Alisa Monique Carr, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1457451114
  Medicare reassignment Authorized official
• Jennifer Anne Lott, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1396885091
  NPD (past)
• Alison Webb, LPC

  • Professional Counselor
  • Round Rock, TX
  • NPI 1275651846
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1174898910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 MANCHACA RD",
            "address_2": "SUITE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451680",
            "telephone_number": "512-297-8717",
            "fax_number": "888-395-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 MANCHACA RD",
            "address_2": "SUITE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451680",
            "telephone_number": "512-297-8717",
            "fax_number": "888-395-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE OF THE HEART, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "512-297-8717"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Capitol, P.a. (Eye Capitol)
• Eye Clinic of Austin PLLC (Eye Clinic of Austin)
• Eye Clinic of Austin PLLC Thomas Henderson Sole MBR (Eye Clinic of Austin)
• Eye Institute of Austin
• Eye Institute of Austin
• Eye Physicians of Austin P a
• Eye Surgery of Austin LLC
• Eye Winsome LLC
• Eyecare of Austin, PLLC
• Eyecare Plus Associates PLLC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

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