Eye Capitol, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6889TG Issued in TX

Legal business name

EYE CAPITOL, P.A.

Practice address

1144 Airport Blvd Ste 235
Austin, TX 78702-3163

Phone

(915) 433-8523

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Chavez, O.D.NPI 1851561740

Title

President

Phone

(915) 433-8523

Specialties & licenses 4

Addresses

Other names 1

• Eye Capitol Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Michael Adrian Chavez, O.D.

  • Corneal and Contact Management Optometrist
  • Austin, TX
  • NPI 1851561740
  Medicare reassignment NPD Authorized official
• Komal Shah, OD

  • Optometrist
  • Austin, TX
  • NPI 1144741562
  Medicare reassignment NPD

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1326318189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD STE 235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023163",
            "telephone_number": "915-433-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD STE 235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023163",
            "telephone_number": "915-433-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CAPITOL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-433-8523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6889TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6889TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "6889TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "6889TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Capitol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jan 10, 2012; 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.