Active NPI
San Gabriel Eye Center
- Optometrist
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T1966
- Legal business name
- SAN GABRIEL EYE CENTER
- Practice address
- 1401 Williams Dr
Georgetown, TX 78628-4115 - Phone
- (512) 869-4600
- Fax
- (512) 869-2077
- NPI assigned
- Apr 17, 2007
- Organization subpart
- Yes
- Parent organization
- SAN GABRIEL EYE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen D. Schaefer, O.D., P.A.
- Title
- Owner
- Phone
- (512) 869-4600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T1966 | TX | Primary |
Addresses
Primary practice location
1401 Williams Dr
Georgetown, TX 78628-4115
Mailing address
1401 Williams Dr
Georgetown, TX 78628-4115
Phone (512) 869-4600
Other names 1
- San Gabriel Optical
National Provider Directory
National Provider Directory- Part of
- Stephen D Schaefer OD PA
Locations
1401 Williams Dr
Georgetown, TX 78628
Phone (512) 551-5500
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.
-
- Optometrist
- Georgetown, TX
- NPI 1851954838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Georgetown, TX
- NPI 1285739391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1487870721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 WILLIAMS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786284115",
"telephone_number": "512-869-4600",
"fax_number": "512-869-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 WILLIAMS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786284115",
"telephone_number": "512-869-4600",
"fax_number": "512-869-2077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN GABRIEL EYE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAN GABRIEL EYE CENTER",
"enumeration_date": "2007-04-17",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-869-4600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D., P.A."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "T1966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "San Gabriel Optical",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.