Central Texas Eye Clinic, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CENTRAL TEXAS EYE CLINIC, PA

Practice address

601 W Highway 6
Suite 108
Waco, TX 76710-5591

Phone

(254) 752-8328

Fax

(254) 752-7724

NPI assigned

Dec 11, 2006

Last updated

Jun 9, 2009By 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

Dr. Lewis Richard Kannwischer, M.D.NPI 1710084447

Title

Secretary

Phone

(254) 752-8328

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Jeffrey Joseph Leinfelder, M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1629175369
  Medicare reassignment NPD
• Lewis Richard Kannwischer, M.D.

  • Ophthalmology Physician
  • Waco, TX
  • NPI 1710084447
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1487714374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21385",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767021385",
            "telephone_number": "254-752-8328",
            "fax_number": "254-752-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W HIGHWAY 6",
            "address_2": "SUITE 108",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105591",
            "telephone_number": "254-752-8328",
            "fax_number": "254-752-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS EYE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "KANNWISCHER",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "254-752-8328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00DT98",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082246201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Texas Anesthesiology Associates
• Central Texas Anesthesiology Associates Inc
• Central Texas Cardiology PA
• Central Texas Cardiovascular
• Central Texas DME Inc.
• Central Texas Homecare, LLC (Interim Healthcare of Waco)
• Central Texas Institute of Plastic Surgery, PA
• Central Texas Nephrology Associates, P.a.
• Central Texas Neurological Association
• Central Texas Orthodontic Associates, Inc.

• Ophthalmology Physician in Waco, TX
• Providers in Waco, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.