NPIMap

Organization Active NPI

Spanish Oaks Eyecare PLLC

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1255880423
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7855TG Issued in TX
Legal business name
SPANISH OAKS EYECARE PLLC
Practice address
13625 Ronald W Reagan Blvd
Building 8, Suite 200
Round Rock, TX 78681
Phone
(512) 774-4181
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Dina Miller, ODNPI 1568742682
Title
Owner
Phone
(512) 774-4181

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7855TG TX Primary

Addresses

Primary practice location

13625 Ronald W Reagan Blvd
Building 8, Suite 200
Round Rock, TX 78681

Mailing address

4004 Castle CRK
Round Rock, TX 78681-1037

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.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1255880423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 CASTLE CRK",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 RONALD W REAGAN BLVD",
            "address_2": "BUILDING 8, SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-774-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH OAKS EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-774-4181",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7855TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.