Birkmann Eye Associates PLLC
Organization Active NPI Optometrist · Georgetown, TX
NPI 1528587482 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1528587482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 9137T (TX)
- Legal business name
- BIRKMANN EYE ASSOCIATES PLLC
- Practice address
- 1013 W University Ave Ste 135
Georgetown, TX 78628-5359 - Phone
- (512) 869-8821
- NPI assigned
- Sep 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Mark Birkmann, OD
- Title
- Owner/Provider
- Phone
- (512) 869-8821
Practitioners 2
-
Mark G. Birkmann, O.D.
-
Michael Patrick Mooney, O,D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171211000736 | TX | Part B Supplier - Clinic/Group Practice | 7012275522 |
Receives reassigned benefits from 1 practitioner Practice locations: Georgetown, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 9137T | TX | Yes |
Addresses
Primary practice location
1013 W University Ave Ste 135
Georgetown, TX 78628-5359
Mailing address
1013 W University Ave Ste 135
Georgetown, TX 78628-5359
Phone (512) 869-8821
Other names
- Georgetown Vision Center
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.