NPIMap

Organization Active NPI

Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1487753802
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G3889 Issued in TX
Legal business name
TEXAN EYE, PA
Practice address
1700 S. Mopac
Austin, TX 78746
Phone
(512) 327-7000
Fax
(512) 327-5200
NPI assigned
Sep 22, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAN EYE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Roberta M Moore
Title
Patient Account Manager
Phone
(512) 314-1632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X G3889 TX
Ophthalmology Physician 207W00000X G3889 TX Primary

Addresses

Primary practice location

1700 S. Mopac
Austin, TX 78746

Mailing address

5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000

Other identifiers 1

IdentifierTypeStateIssuer
083126501MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Texan Eye Center Eye Ca8 organizations share this tax ID, including this one
Part of
Texan Eye Center Eye Ca

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1487753802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S. MOPAC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-327-7000",
            "fax_number": "512-327-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN EYE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAN EYE, PA",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "512-314-1632"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "G3889",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G3889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083126501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.