Pak Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

TX7379TG Issued in TX

Legal business name

PAK FAMILY EYE CARE

Practice address

4301 W William Cannon Dr
Building a Suite 100
Austin, TX 78749-1473

Phone

(512) 891-9969

NPI assigned

Mar 9, 2010

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Hyun Pak, O.D.NPI 1013145036

Title

Chief Executive Officer

Phone

(512) 891-9969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Peter Hyun Pak, O.D.

  • Optometrist
  • Cedar Park, TX
  • NPI 1013145036
  Medicare reassignment Authorized official
• Amie Thu Nguyen, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1457965477
  Medicare reassignment NPD
• Linda M Pak, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1255569372
  Medicare reassignment
• Thomas Young Lee, OD

  • Optometrist
  • Austin, TX
  • NPI 1780730333
  NPD (past)

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1316260185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WEST WILLIAM CANNON DRIVE",
            "address_2": "BUILDING A SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-891-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W WILLIAM CANNON DR",
            "address_2": "BUILDING A SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491473",
            "telephone_number": "512-891-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAK FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "512-891-9969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX7379TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paisley Labs LLC
• Tiffany Wing-Yan Woo Paiva, D.M.D.
• Paul Pajak, PT
• Kelly Pajares, LPC
• Erik Pajula, MA, LPC
• Linda M Pak, O.D.
• Rutit Pak, DO
• Olivia Pakula, MD
• Hoimonti Pal, M.ED, LPC
• Dawn Palacios

• 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 Mar 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.