NPIMap

Organization Active NPI

Elite Vision Group, PLLC

Doing business as Master Eye Associates

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1326718339
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ELITE VISION GROUP, PLLC
Doing business as
Master Eye Associates
Practice address
2601 S Ih 35 Ste C100
Round Rock, TX 78664-7336
Phone
(512) 689-9960
NPI assigned
Sep 20, 2021
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Dr. Mark Steven Dworsky, ODNPI 1073533675
Title
Owner
Phone
(512) 689-9960

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2601 S Ih 35 Ste C100
Round Rock, TX 78664-7336

Mailing address

3451 Mayfield Ranch Blvd Unit 611
Round Rock, TX 78681-2470
Phone (512) 689-9960

Other names 1

  • Master Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220201002655 TX Part B Supplier - Clinic/Group Practice 2062805781 Receives reassigned benefits from 27 practitioners
Practice locations: Sunset Valley, TX; Round Rock, TX; Kyle, TX; Georgetown, TX; Austin, TX; Bee Cave, TX

National Provider Directory

National Provider Directory

Locations

14005 Research Blvd
Ste 100BSTE
Austin, TX 78717

9600 S Interstate 35
Ste S225
Austin, TX 78748
Phone (512) 291-0876

1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968

10515 N Mopac Expy
Ste 115NB
Austin, TX 78759

14005 Research Blvd
Ste B-100
Austin, TX 78717

1201 Barbara Jordan Blvd
Ste 1470
Austin, TX 78723
Phone (512) 452-3227

12700 Hill Country Blvd
Ste 110
Austin, TX 78738

12700 Hill Country Blvd
#110
Austin, TX 78738

5200 S FM 1626
Ste 100B
Kyle, TX 78640
Phone (737) 302-2751

2601 S Interstate 35
Round Rock, TX 78664

5400 Brodie Ln
#700B
Sunset Valley, TX 78745

5400 Brodie Ln
Ste 700B
Sunset Valley, TX 78745

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1326718339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 MAYFIELD RANCH BLVD UNIT 611",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812470",
            "telephone_number": "512-689-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S IH 35 STE C100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647336",
            "telephone_number": "512-689-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "DWORSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-689-9960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Master Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Master Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.