Organization Active NPI

Birkmann Eye Associates PLLC

Doing business as Georgetown Vision Center

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1528587482
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9137T Issued in TX
Legal business name
BIRKMANN EYE ASSOCIATES PLLC
Doing business as
Georgetown Vision Center
Practice address
1013 W University Ave Ste 135
Georgetown, TX 78628-5359
Phone
(512) 869-8821
NPI assigned
Sep 12, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mark Birkmann, ODNPI 1609880889
Title
Owner/Provider
Phone
(512) 869-8821

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9137T TX Primary

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 1

  • Georgetown Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171211000736 TX Part B Supplier - Clinic/Group Practice 7012275522 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528587482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285359",
            "telephone_number": "512-869-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE STE 135",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285359",
            "telephone_number": "512-869-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRKMANN EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BIRKMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "512-869-8821",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9137T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.