Waco Eye Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WACO EYE ASSOCIATES, PA

Practice address

2400 Ambassador Dr
Waco, TX 76712-9702

Phone

(254) 756-4457

Fax

(254) 756-1718

NPI assigned

Jul 19, 2006

Last updated

Jul 20, 2022By 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

Rhonda Banister

Title

Office Manager

Phone

(254) 756-4457

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: mgillings@wacoeye.intellechartdirect.net

Practitioners 7

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 Gillings, MD

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1093342107
  Medicare reassignment Care Compare group NPD
• James Patrick Harkins Jr., M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1982896056

  Specialist

  Medicare reassignment Care Compare group NPD
• John F Liu, M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1104886043

  Specialist

  Medicare reassignment Care Compare group NPD
• Herman John Quinius III, M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1134226863
  Medicare reassignment Care Compare group NPD
• Marvin Charles Schlecte Jr., M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1134188774

  Specialist

  Medicare reassignment Care Compare group NPD
• Marvin Charles Schlecte III, M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1679791982

  Specialist

  Medicare reassignment Care Compare group NPD
• Bryce C Shutt, M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1538128186

  Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1437178662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129702",
            "telephone_number": "254-756-4457",
            "fax_number": "254-756-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129702",
            "telephone_number": "254-756-4457",
            "fax_number": "254-756-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BANISTER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-756-4457"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161488501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Waco Dental and Orthodontics, PLLC (Rodeo Dental and Orthodontics)
• Waco Endoscopy Center, LLC
• Waco Eye Surgery Center LLC
• Waco Functional Medicine, PA
• Waco Gastroenterology Associates
• Waco Gastroenterology Endoscopy Center LLC (Waco Gastroenterology Endoscopy Center)
• Waco Grins Pediatric Dentistry, PLLC

• Specialist in Waco, TX
• Providers in Waco, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.