NPIMap

Organization Active NPI

KP Eyecare, PLLC

  • Health Service Clinic/Center
  • Pflugerville, TX
National Provider Identifier
1437442266
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
7380T Issued in TX
Legal business name
KP EYECARE, PLLC
Practice address
18700 Limestone Commercial Dr
Pflugerville, TX 78660-6544
Phone
(512) 251-8282
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Kelly Phuong Phan, ODNPI 1760611248
Title
Optometrist
Phone
(512) 251-8282

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
Health Service Clinic/Center 261QH0100X 7380T TX Primary

Addresses

Primary practice location

18700 Limestone Commercial Dr
Pflugerville, TX 78660-6544

Mailing address

18700 Limestone Commercial Dr
Pflugerville, TX 78660-6544
Phone (512) 251-8282

National Provider Directory

National Provider Directory

Locations

18700 Limestone Commercial Dr
Pflugerville, TX 78660
Phone (512) 251-8282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1437442266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 LIMESTONE COMMERCIAL DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606544",
            "telephone_number": "512-251-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 LIMESTONE COMMERCIAL DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606544",
            "telephone_number": "512-251-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "512-251-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "7380T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.