Organization Active NPI

Bob Joe, O.D. and Associates

  • Optometrist
  • Austin, TX
National Provider Identifier
1326167016
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2286TG Issued in TX
Legal business name
BOB JOE, O.D. AND ASSOCIATES
Practice address
8105 Shoal Creek Blvd
Suite a
Austin, TX 78757-8040
Phone
(512) 454-4641
Fax
(512) 454-1265
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Bob Joe, OD
Title
Owner
Phone
(512) 454-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2286TG TX Primary

Addresses

Primary practice location

8105 Shoal Creek Blvd
Suite a
Austin, TX 78757-8040

Mailing address

8105 Shoal Creek Blvd
Suite a
Austin, TX 78757-8040
Phone (512) 454-4641

Other identifiers 1

IdentifierTypeStateIssuer
0036FHOtherTXBCBS GROUP #

National Provider Directory

National Provider Directory

Locations

8105 Shoal Creek Blvd
#A
Austin, TX 78757
Phone (512) 454-4641

Practitioners & affiliated clinicians

Practitioners 3

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1326167016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 SHOAL CREEK BLVD",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578040",
            "telephone_number": "512-454-4641",
            "fax_number": "512-454-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 SHOAL CREEK BLVD",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578040",
            "telephone_number": "512-454-4641",
            "fax_number": "512-454-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB JOE, O.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-454-4641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2286TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0036FH",
            "state": "TX"
        }
    ],
    "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 Mar 4, 2008; 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.