Organization Active NPI

SPM Optometry Assoc PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1255859070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5326T Issued in TX
Legal business name
SPM OPTOMETRY ASSOC PLLC
Practice address
9500 S Ih 35 Ste G
Austin, TX 78748-1753
Phone
(619) 549-5593
Fax
(512) 292-9108
NPI assigned
Aug 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Shusmita Rahman, OD FAAONPI 1952452278
Title
Managing Optometrist
Phone
(619) 549-5593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5326T TX Primary

Addresses

Primary practice location

9500 S Ih 35 Ste G
Austin, TX 78748-1753

Mailing address

9500 S Ih 35 Ste G
Austin, TX 78748-1753
Phone (619) 549-5593

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255859070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S IH 35 STE G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481753",
            "telephone_number": "619-549-5593",
            "fax_number": "512-292-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 S IH 35 STE G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481753",
            "telephone_number": "619-549-5593",
            "fax_number": "512-292-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPM OPTOMETRY ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SHUSMITA",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "619-549-5593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5326T",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.