NPIMap

Organization Active NPI

Galleria Eyecare PLLC

  • Optometrist
  • Bee Cave, TX
National Provider Identifier
1285019919
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GALLERIA EYECARE PLLC
Practice address
12921 Hill Country Blvd
Sted2-115
Bee Cave, TX 78738-6392
Phone
(512) 263-1023
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Robert G Soltys, O.D.NPI 1801950217
Title
Owner
Phone
(512) 263-1023

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 NU Primary

Addresses

Primary practice location

12921 Hill Country Blvd
Sted2-115
Bee Cave, TX 78738-6392

Mailing address

12921 Hill Country Blvd
Sted2-115
Bee Cave, TX 78738-6392
Phone (512) 263-1023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425000119 TX Part B Supplier - Clinic/Group Practice 3476852567 Receives reassigned benefits from 12 practitioners
Practice locations: Bee Cave, TX

National Provider Directory

National Provider Directory

Locations

12921 Hill Country Blvd
Ste 2-115
Bee Cave, TX 78738
Phone (512) 263-1023

Practitioners & affiliated clinicians

Practitioners 12

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": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1285019919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 HILL COUNTRY BLVD",
            "address_2": "STED2-115",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386392",
            "telephone_number": "512-263-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 HILL COUNTRY BLVD",
            "address_2": "STED2-115",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386392",
            "telephone_number": "512-263-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "SOLTYS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-263-1023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.