Active NPI
Virginia Bougher, O.D.
- Optometrist
- Cedar Park, TX
National Provider Identifier
1235167677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2225TG
- Practice address
- 715 Discovery Blvd
Suite 111 BLDG. 1
Cedar Park, TX 78613-2295 - Phone
- (512) 260-2100
- Fax
- (512) 260-2102
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2225TG | TX | Primary |
Addresses
Primary practice location
715 Discovery Blvd
Suite 111 BLDG. 1
Cedar Park, TX 78613-2295
Mailing address
715 Discovery Blvd
Suite 111 BLDG. 1
Cedar Park, TX 78613-2295
Phone (512) 260-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Larry Smith & Associates | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Cedar Park, TX
- NPI 1568566859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273190400000",
"number": "1235167677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 DISCOVERY BLVD",
"address_2": "SUITE 111 BLDG. 1",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132295",
"telephone_number": "512-260-2100",
"fax_number": "512-260-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 DISCOVERY BLVD",
"address_2": "SUITE 111 BLDG. 1",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132295",
"telephone_number": "512-260-2100",
"fax_number": "512-260-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUGHER",
"first_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2010-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2225TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.