Cedar Park Vision PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CEDAR PARK VISION PA

Practice address

908 W Whitestone Blvd
Ste 100
Cedar Park, TX 78613-1111

Phone

(512) 259-2020

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly L Wampler, O.DNPI 1922289552

Title

Optometrist/Owner

Phone

(512) 259-2020

Specialties & licenses 1

Addresses

Other names 1

• CEDAR PARK VISION CENTER Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Kimberly Lee Wampler, O.D.

  • Optometrist
  • Cedar Park, TX
  • NPI 1922289552
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Mailien Dang

  • Optometrist
  • Cedar Park, TX
  • NPI 1578162004
  Medicare reassignment Care Compare group NPD
• Taylor Rains, OD

  • Optometrist
  • Cedar Park, TX
  • NPI 1518708858
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1487834271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W WHITESTONE BLVD",
            "address_2": "STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131111",
            "telephone_number": "512-259-2020",
            "fax_number": "737-212-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W WHITESTONE BLVD",
            "address_2": "STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131111",
            "telephone_number": "512-259-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Walton Way Ste 116",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137046",
            "country_code": "US",
            "telephone_number": "512-259-2020",
            "fax_number": "512-259-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR PARK VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "WAMPLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "512-259-2020",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEDAR PARK VISION CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cedar Park Surgery Center LLP
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• Cedar Smiles Pediatric Dentistry
• Mario Cendan, NP
• Central Texas Foot Specialist PA
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• All providers in Cedar Park, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.