Individual provider Active NPI

Virginia Bougher, O.D.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1235167677
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2225TG Issued in TX
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

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.