Reveal Eye Care & Surgery, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

P1953 Issued in TX

Legal business name

REVEAL EYE CARE & SURGERY, PLLC

Practice address

3613 Williams Dr
Suite 703
Georgetown, TX 78628-1377

Phone

(512) 686-1224

Fax

(512) 686-1272

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Justin David Aaker, M.D.NPI 1144422908

Title

Manager

Phone

(512) 686-1224

Specialties & licenses 1

Addresses

Other names 1

• Reveal Eye Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Justin David Aaker, MD

  • Ophthalmology Physician
  • Georgetown, TX
  • NPI 1144422908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1508211657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR",
            "address_2": "SUITE 703",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281377",
            "telephone_number": "512-686-1224",
            "fax_number": "512-686-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR",
            "address_2": "SUITE 703",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281377",
            "telephone_number": "512-686-1224",
            "fax_number": "512-686-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL EYE CARE & SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "AAKER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-686-1224",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reveal Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.