Precision Vision TX PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRECISION VISION TX PLLC

Practice address

11200 Lakeline Mall Dr Ste E5
Cedar Park, TX 78613-1504

Phone

(512) 401-6000

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By 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

Matthew Lubeck, ODNPI 1851733612

Title

Owner

Phone

(307) 241-0351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Matthew Cody Lubeck, O.D.

  • Optometrist
  • Bee Cave, TX
  • NPI 1851733612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1366146474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 LAKELINE MALL DR STE E5",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131504",
            "telephone_number": "512-401-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LAKELINE MALL DR STE E5",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131504",
            "telephone_number": "512-401-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VISION TX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "LUBECK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-241-0351",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Poulin, MD
• Cole P Poulter, DC
• Melodee M Powers, LMT
• Shruthi Prabhakar
• Amita Singal Prakash, DDS
• Jillian Prem, BCBA
• Premier Health MD
• Premier Orthopedics
• Prescription Dispensing Laboratories, Inc.
• Hannah Price, DPT

• Optometrist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.