Active NPI
David W Tybor OD PC
- Optometrist
- Austin, TX
National Provider Identifier
1255303442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3233TG
- Legal business name
- DAVID W TYBOR OD PC
- Doing business as
- Oak Hill Eye Care
- Practice address
- 6000 W William Cannon Dr
BLDG a Ste 100
Austin, TX 78749-1975 - Phone
- (512) 288-0444
- Fax
- (512) 288-1009
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Tamara R Harper
- Title
- Office Assistant
- Phone
- (512) 288-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3233TG | TX | Primary |
Addresses
Primary practice location
6000 W William Cannon Dr
BLDG a Ste 100
Austin, TX 78749-1975
Mailing address
6000 W WM Cannon
BLDG a Ste 100
Austin, TX 78749
Phone (512) 288-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00E28C | Other | TX | BLUE CROSS BLUE SHIELD |
| 1123507 | Medicaid | TX |
Other names 1
- Oak Hill Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6000 W William Cannon Dr
Ste A100
Austin, TX 78749
Phone (512) 288-0444
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Austin, TX
- NPI 1003297417
-
- Optometrist
- Austin, TX
- NPI 1912064957
-
- Optometrist
- Austin, TX
- NPI 1396472825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1255303442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 W WM CANNON",
"address_2": "BLDG A STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78749",
"telephone_number": "512-288-0444",
"fax_number": "512-288-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 W WILLIAM CANNON DR",
"address_2": "BLDG A STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491975",
"telephone_number": "512-288-0444",
"fax_number": "512-288-1009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W TYBOR OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE ASSISTANT",
"authorized_official_telephone_number": "512-288-0444",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "3233TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00E28C",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1123507",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Hill Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.