Georgetown Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GEORGETOWN VISION CENTER PLLC

Practice address

1013 W University Ave
Ste 135
Georgetown, TX 78628-5340

Phone

(512) 869-8821

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Mark Sturm, OD

Title

Owner

Phone

(812) 391-0384

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1205122553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE",
            "address_2": "STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285340",
            "telephone_number": "512-869-8821",
            "fax_number": "512-869-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE",
            "address_2": "STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285340",
            "telephone_number": "512-869-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "STURM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-391-0384",
        "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": []
}

• Georgetown Pulmonary Associates, P.a.
• Georgetown Radiation Oncology PLLC
• Georgetown Radiology Associates, PLLC.
• Georgetown Sleep Center, P.a.
• Georgetown SNF Operations LLC (Estrella Oaks Rehabilitation and Care Center)
• Georgetown Women's Center, PA
• Michelle Marie Gerbozy, LCSW
• Mark Gerdes, PT, MSPT
• Mark R Geyer, M.D.
• Jessica Maccarino Gibson, APRN, FNP-C

• Optometrist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.