Center for Aesthetic and Reconstructive Eyelid and Orbital Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000352 Issued in TX

Legal business name

CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY

Practice address

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019

Phone

(512) 458-4391

Fax

(512) 458-5933

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Sean Matthew Bladyon, M.D.

Title

Medical Director

Phone

(512) 458-2141

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CAREOS Doing business as

Practitioners 1

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

• Sean Matthew Blaydon, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Austin, TX
  • NPI 1730170622
  NPD

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1528049855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-4391",
            "fax_number": "512-458-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-4391",
            "fax_number": "512-458-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "BLADYON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-458-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085968801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Gabriela Ceniceros, RDN, LD
• Cenikor Foundation
• Andrea Centeno
• Karina Centeno
• Center at Parmer, LLC
• Center for Autistic Spectrum Disorders Inc
• Center for Cosmetic Dentistry
• Center for Counseling and Psychological Services You Talk PLLC
• Center for Foot and Ankle Surgery, PA
• Center for Recovery and Reconnection

• Ambulatory Surgical Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.