Organization Active NPI

Bella Vision PLLC.

  • Optometrist
  • Austin, TX
National Provider Identifier
1245494640
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00682T Issued in TX
Legal business name
BELLA VISION PLLC.
Practice address
1206 West 38TH Street
1204A
Austin, TX 78705-1018
Phone
(512) 454-1900
Fax
(512) 206-4402
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Dr. Thi Truong Le, OD
Title
Owner
Phone
(512) 454-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 00682T TX Primary

Addresses

Primary practice location

1206 West 38TH Street
1204A
Austin, TX 78705-1018

Mailing address

1206 West 38TH Street
1204A
Austin, TX 78705-1018
Phone (512) 454-1900

Other identifiers 1

IdentifierTypeStateIssuer
0019FGOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1206 W 38th St
#1204A
Austin, TX 78705
Phone (512) 454-1900

1206 W 38th St
Ste 1204A
Austin, TX 78705
Phone (512) 454-1900

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1245494640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 WEST 38TH STREET",
            "address_2": "1204A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051018",
            "telephone_number": "512-454-1900",
            "fax_number": "512-206-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 WEST 38TH STREET",
            "address_2": "1204A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051018",
            "telephone_number": "512-454-1900",
            "fax_number": "512-206-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISION PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THI",
        "authorized_official_middle_name": "TRUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-454-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "00682T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0019FG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.