Eyesite Family Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

7169T Issued in TX

Legal business name

EYESITE FAMILY VISION INC

Practice address

5775 Airport Blvd Ste 400B
Austin, TX 78752-4218

Phone

(512) 467-2020

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shahrokh Rouhani, O.D.NPI 1477734382

Title

President

Phone

(512) 467-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Shahrokh Rouhani, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1477734382
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1265733620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 AIRPORT BLVD",
            "address_2": "STE 400 B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 AIRPORT BLVD STE 400B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524218",
            "telephone_number": "512-467-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESITE FAMILY VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "ROUHANI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-467-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7169T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192604001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyemasters of Texas LTD
• Eyemasters of Texas LTD
• Eyeris Vision Center
• Eyeris Vision PLLC
• Eyes of Texas Vision Therapy PLLC
• Eyetech, PA
• Marcia Emily Eyrich, LCSW, LPC
• Klaus Friedemann Eyting
• Nnanna Bruce Eze, RN
• Patience Eze, MENTAL HEALTH

• 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 Apr 7, 2011; 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.