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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127282503 | Medicaid | TX |
Other names 1
- Eye Associates of Central Texas
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2175467 | Eye Associates of Central Texas | Certificate of waiver | Nov 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Taylor, TX
- NPI 1407858392
-
- Ophthalmology Physician
- Taylor, TX
- NPI 1346284866
-
- Ophthalmology Physician
- Round Rock, TX
- NPI 1609878339
-
- Ophthalmology Physician
- Cedar Park, TX
- NPI 1811967821
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.