Active NPI
Stars in Your Eyes Vision Training Center LLC
- Vision Therapy Optometrist
- Austin, TX
National Provider Identifier
1619262417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 5531T
- Legal business name
- STARS IN YOUR EYES VISION TRAINING CENTER LLC
- Practice address
- 3305 Northland Dr Ste 312
Austin, TX 78731-4961 - Phone
- (512) 419-1212
- NPI assigned
- Jun 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Schottman, O.D.
- Title
- Owner
- Phone
- (512) 419-1212
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 5531T | TX | |
| Sports Vision Optometrist | 152WS0006X | 5531T | TX | |
| Vision Therapy Optometrist | 152WV0400X | 5531T | TN | Primary |
Addresses
Primary practice location
3305 Northland Dr Ste 312
Austin, TX 78731-4961
Mailing address
3305 Northland Dr Ste 312
Austin, TX 78731-4961
Phone (512) 419-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5531T | Other | TX | TEXAS BOARD OF OPTOMETRY |
National Provider Directory
National Provider DirectoryLocations
3305 Northland Dr
Ste 312
Austin, TX 78731
Phone (512) 419-1212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307577600000",
"number": "1619262417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 NORTHLAND DR STE 312",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314961",
"telephone_number": "512-419-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 NORTHLAND DR STE 312",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314961",
"telephone_number": "512-419-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARS IN YOUR EYES VISION TRAINING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A",
"authorized_official_last_name": "SCHOTTMAN",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-419-1212",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "5531T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "5531T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "TN",
"license": "5531T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF OPTOMETRY",
"identifier": "5531T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.