Austin Ocular Prosthetics Center LLC

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

AUSTIN OCULAR PROSTHETICS CENTER LLC

Practice address

711 W 38TH St
Ste G1A
Austin, TX 78705-1121

Phone

(512) 452-3100

Fax

(512) 452-3200

NPI assigned

Sep 25, 2007

Last updated

May 26, 2011By 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

Mr. Craig R Pataky, BCONPI 1972790814

Title

Board Certified Ocularist

Phone

(512) 452-3100

Specialties & licenses 2

Addresses

Other identifiers 2

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, and the practitioner matching its NPPES authorized official.

• Craig R. Pataky, B.C.O.

  • Ocularist
  • Austin, TX
  • NPI 1972790814
  NPD Authorized official
• Julie Shipman, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1134285976
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1396932232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "STE G1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-452-3100",
            "fax_number": "512-452-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "STE G1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-452-3100",
            "fax_number": "512-452-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN OCULAR PROSTHETICS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "PATAKY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BOARD CERTIFIED OCULARIST",
        "authorized_official_telephone_number": "512-452-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195117001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TEXAS",
            "identifier": "532747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin NP Group LLC
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• Austin OB-GYN Associates PA
• Austin OBGYN Associates PLLC
• Austin Oncall Em Physicians PLLC
• Austin Open MRI LP (Austin Health Imaging LP)
• Austin Optometrists PLLC
• Austin Oral & Maxillofacial Surgery Associates
• Austin Orthodontic Arts

• Technician/Technologist in Austin, TX
• Providers in Austin, TX by specialty
• Technician/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.