Organization Active NPI

TJF Optometric Holdings P.L.L.C

Doing business as Eyes of Texas Vision Care

  • Optometrist
  • Austin, TX
National Provider Identifier
1518235779
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7902 Issued in TX
Legal business name
TJF OPTOMETRIC HOLDINGS P.L.L.C
Doing business as
Eyes of Texas Vision Care
Practice address
1518 W Koenig LN
Austin, TX 78756-1416
Phone
(512) 454-5117
Fax
(512) 450-1496
NPI assigned
Dec 2, 2011
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Dr. Fern Yee, O.D.NPI 1558462143
Title
Manager /Member
Phone
(512) 454-5117

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)CodeLicenseStatePrimary
Optometrist 152W00000X 7902 TX Primary

Addresses

Primary practice location

1518 W Koenig LN
Austin, TX 78756-1416

Mailing address

1518 W Koenig LN
Austin, TX 78756-1416
Phone (512) 454-5117

Other identifiers 1

IdentifierTypeStateIssuer
8B4554OtherTXMEDICARE

Other names 1

  • Eyes of Texas Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000993 TX Part B Supplier - Clinic/Group Practice 2264699321 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1518235779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561416",
            "telephone_number": "512-454-5117",
            "fax_number": "512-450-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561416",
            "telephone_number": "512-454-5117",
            "fax_number": "512-450-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJF OPTOMETRIC HOLDINGS P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "FERN",
        "authorized_official_title_or_position": "MANAGER /MEMBER",
        "authorized_official_telephone_number": "512-454-5117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8B4554",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes of Texas Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2024; 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.