Organization Active NPI

Elite Eye Specialists

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1497842439
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L4779 Issued in TX
Legal business name
ELITE EYE SPECIALISTS
Practice address
11215 S Ih 35
Suite 102
Austin, TX 78747-1863
Phone
(512) 282-3937
NPI assigned
Oct 10, 2006
Organization subpart
Yes
Parent organization
PROVISTA EYE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Linda Vargas, MD
Title
MD Owner
Phone
(512) 282-3937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 62667G TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X L4779 TX Primary

Addresses

Primary practice location

11215 S Ih 35
Suite 102
Austin, TX 78747-1863

Mailing address

11215 S Ih 35
Suite 102
Austin, TX 78747-1863
Phone (512) 282-3937

Other identifiers 1

IdentifierTypeStateIssuer
3376983OtherTXAETNA

National Provider Directory

National Provider Directory
Part of
Provista PA

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1497842439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 S IH 35",
            "address_2": "SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787471863",
            "telephone_number": "512-282-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 S IH 35",
            "address_2": "SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787471863",
            "telephone_number": "512-282-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYE SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVISTA EYE CLINIC",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "512-282-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "62667G",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3376983",
            "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 Apr 2, 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.

Verify at the official NPI Registry.