Organization Active NPI

Thomas L Hendrix, MD, Patricia B Dearman, MD, W Thomas Kittleman, MD,P

Doing business as Eye Associates of Central Texas

  • Ophthalmology Physician
  • Taylor, TX
National Provider Identifier
1407837479
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THOMAS L HENDRIX, MD, PATRICIA B DEARMAN, MD, W THOMAS KITTLEMAN, MD,P
Doing business as
Eye Associates of Central Texas
Practice address
603 Mallard LN
Taylor, TX 76574-1214
Phone
(512) 352-7664
Fax
(512) 365-5237
NPI assigned
Nov 8, 2005
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Thomas Lawrence Hendrix, M.D.NPI 1407858392
Title
President
Phone
(512) 352-7664

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
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

603 Mallard LN
Taylor, TX 76574-1214

Mailing address

603 Mallard LN
Taylor, TX 76574-1214
Phone (512) 352-7664

Other identifiers 1

IdentifierTypeStateIssuer
127282503MedicaidTX

Other names 1

  • Eye Associates of Central Texas Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2175467Eye Associates of Central Texas603 Mallard Lane, Taylor, TX 76574Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory

Locations

2120 Round Rock Ave
Round Rock, TX 78681
Phone (512) 244-1991

603 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1407837479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "512-352-7664",
            "fax_number": "512-365-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "512-352-7664",
            "fax_number": "512-365-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L HENDRIX, MD, PATRICIA B DEARMAN, MD, W THOMAS KITTLEMAN, MD,P",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-352-7664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127282503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Central Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.