Lake Travis Eye and Laser Center, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LAKE TRAVIS EYE AND LASER CENTER, PA

Practice address

3503 Wild Cherry Dr BLDG 3
Lakeway, TX 78738-1817

Phone

(512) 263-9000

Fax

(512) 263-9126

NPI assigned

Jul 28, 2010

Last updated

Oct 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Rhodes, MDNPI 1821272378

Title

President

Phone

(512) 263-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Kyle Murphy Rhodes, MD

  • Ophthalmology Physician
  • Lakeway, TX
  • NPI 1821272378
  Medicare reassignment Care Compare group NPD Authorized official
• Krystal Leigh Schulle, OD

  • Optometrist
  • Bellaire, TX
  • NPI 1922448802
  Medicare reassignment Care Compare group NPD
• Christina Theresa Wenn, OD

  • Optometrist
  • Austin, TX
  • NPI 1639630320
  Medicare reassignment Care Compare group NPD
• Tam Quang Dang Jr., MD

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1184821803

  TX

  Medicare reassignment NPD
• Julie Gorn, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1710112511
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1629382023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 WILD CHERRY DR BLDG 3",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381817",
            "telephone_number": "512-263-9000",
            "fax_number": "512-263-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 WILD CHERRY DR BLDG 3",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381817",
            "telephone_number": "512-263-9000",
            "fax_number": "512-263-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TRAVIS EYE AND LASER CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-263-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie La Plant, PT, DPT
• Parker Laborde
• Lake Travis Chiropractic (620 Chiropractic Center)
• Lake Travis Chiropractic, PLLC
• Lake Travis Counseling Connection PLLC
• Lake Travis Family & Cosmetic Dentistry PLLC (Lake Travis Dentistry)
• Lake Travis Oral & Maxillofacial Surgery, PLLC.
• Lake Travis Pediatric Dentistry
• Lake Travis Surgery Center LLC
• Lakeway Ambulatory Surgery Center, LLC (Lakeway Surgery Center)

• Ophthalmology Physician in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.