Organization Active NPI

Meinke Family Eyecare PLLC

  • Optometrist
  • Kyle, TX
National Provider Identifier
1255722476
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7213T Issued in TX
Legal business name
MEINKE FAMILY EYECARE PLLC
Practice address
5754 Kyle Parkway
Kyle, TX 78640
Phone
(901) 826-1726
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Lauren Henson Meinke, O.D.
Title
Optometrist
Phone
(901) 826-1726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 7213T TX Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 7278T TX

Addresses

Primary practice location

5754 Kyle Parkway
Kyle, TX 78640

Mailing address

1239 Tetbury LN
Austin, TX 78748-4820
Phone (901) 826-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150519001938 TX Part B Supplier - Clinic/Group Practice 4789904517 Receives reassigned benefits from 1 practitioner
Practice locations: San Marcos, TX

National Provider Directory

National Provider Directory

Locations

5754 Kyle Pkwy
Kyle, TX 78640
Phone (512) 268-0412

200 N Interstate 35
Ste 122
San Marcos, TX 78666

200 N Interstate 35
#122
San Marcos, TX 78666

200 N Interstate 35
San Marcos, TX 78666
Phone (512) 268-5170

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1255722476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 TETBURY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787484820",
            "telephone_number": "901-826-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5754 KYLE PARKWAY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "901-826-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEINKE FAMILY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MEINKE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "HENSON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "901-826-1726",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7213T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7278T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.

Verify at the official NPI Registry.