Organization Active NPI

Stars in Your Eyes Vision Training Center LLC

  • Vision Therapy Optometrist
  • Austin, TX
National Provider Identifier
1619262417
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
5531T Issued in TN
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

Updated by the provider on Jun 9, 2011

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)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WP0200X 5531T TX
Sports Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WS0006X 5531T TX
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5531TOtherTXTEXAS BOARD OF OPTOMETRY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.