Restivo Laser Vision

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

K6970 Issued in TX

Legal business name

RESTIVO LASER VISION

Practice address

11901 W Parmer LN
Ste 410
Cedar Park, TX 78613-7651

Phone

(512) 927-2020

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Vincent Restivo, MD

Title

President

Phone

(512) 927-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1477085595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN",
            "address_2": "STE 410",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN",
            "address_2": "STE 410",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137651",
            "telephone_number": "512-927-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTIVO LASER VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-927-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "TX",
            "license": "K6970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Reid-Gerow, COTA
• Joshua Harold Reinhart, MD
• Anne Catherine Remme, MS, CCC-SLP
• Rendezvous Home Health Care LLC
• Resilient Mind Therapy
• Vincent Anthony Restivo, M.D.
• Retina Group of Texas, PLLC
• Monica Maria Reveley, RBT
• Stacey Lavoro Rexrode, PH.D.
• Jennifer Guevara Reyes, M.ED, LPC-S, RPT-S

• Ophthalmologic Surgery Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Ophthalmologic Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.