Waterloo Eye Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WATERLOO EYE ASSOCIATES

Doing business as

Hill Country Eye Center

Practice address

12171 W Parmer LN
Suite 201
Cedar Park, TX 78613-7361

Phone

(512) 528-1144

Fax

(512) 528-1143

NPI assigned

Jan 23, 2006

Last updated

Dec 12, 2012By 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

Dr. Vincent Anthony Restivo, MDNPI 1811967821

Title

President

Phone

(512) 528-1144

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hill Country Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Vincent Anthony Restivo, M.D.

  • Ophthalmology Physician
  • Cedar Park, TX
  • NPI 1811967821
  Medicare reassignment Care Compare group Authorized official
• Chelsea Anne Devitt, OD

  • Optometrist
  • Austin, TX
  • NPI 1093236416
  Medicare reassignment Care Compare group NPD
• Nathan Evan Osterman, O.D.

  • Optometrist
  • Cedar Park, TX
  • NPI 1437531381
  Medicare reassignment Care Compare group
• Todd Robert Shepler, M.D.

  • Ophthalmology Physician
  • Cedar Park, TX
  • NPI 1568453447
  Medicare reassignment Care Compare group
• Kevin Soong, OD

  • Optometrist
  • Cedar Park, TX
  • NPI 1528589017
  Medicare reassignment NPD
• Peter T Wollan, MD

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205837432
  Medicare reassignment

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1407826415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 W PARMER LN",
            "address_2": "SUITE 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137361",
            "telephone_number": "512-528-1144",
            "fax_number": "512-528-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12171 W PARMER LN",
            "address_2": "SUITE 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137361",
            "telephone_number": "512-528-1144",
            "fax_number": "512-528-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-528-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173907001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP #",
            "identifier": "0059MS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Z. Warren, PH.D.
• Marissa Warren, OTRL
• Pamela A Warren, MD
• Water Oak Psychiatry PLLC
• Water Stone Fire Darkness PLLC
• Davida P Watkins
• Felicity Jewell Way, NP-C
• Wayne a. Hurst, DPM, PA (Foot Specialists of Cedar Park and Georgetown)
• Kimberly S Weaster, M.ED., LPC, NCC
• Cody Weaver, DC

• Ophthalmology Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.