Avery Ranch Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

07484TG Issued in TX

Legal business name

AVERY RANCH EYE CARE, PLLC

Practice address

15004 Avery Ranch Blvd
Suite 103
Austin, TX 78717-4600

Phone

(512) 528-8299

NPI assigned

Oct 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Chris Vincent, O.D.

Title

Optometrist

Phone

(512) 528-8299

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287878400000",
    "number": "1245530336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15004 AVERY RANCH BLVD",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15004 AVERY RANCH BLVD",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174600",
            "telephone_number": "512-528-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY RANCH EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-24",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "512-528-8299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "07484TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRY LICENSE",
            "identifier": "07484TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aventiq Diagnostics LLC
• Dustin Averitt
• Grace Averitt, D.O.
• Avery Investments of Austin, LLC (Visiting Angels)
• Avery Ranch Dental, PLLC (Avery Ranch Dental)
• Avery Ranch Family & Cosmetic Dentistry, P.a. (Riata Dental)
• Megan Diane Avery Zellner, LPC
• Ciera Mariah Avery, LPC
• Megan Avery
• Sarah S. Avery, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.