Organization Active NPI

Jack Pierce,MD PLLC

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1639483068
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JACK PIERCE,MD PLLC
Practice address
6818 Austin Center Blvd
Ste 202
Austin, TX 78731-3158
Phone
(512) 415-1649
Fax
(512) 291-3556
NPI assigned
Jul 27, 2010
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Jack W Pierce, MDNPI 1346213774
Title
President
Phone
(512) 415-1649

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
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

6818 Austin Center Blvd
Ste 202
Austin, TX 78731-3158

Mailing address

PO Box 26810
Austin, TX 78755-0810
Phone (512) 415-1649

National Provider Directory

National Provider Directory

Locations

6818 Austin Center Blvd
Ste 202
Austin, TX 78731
Phone (512) 241-1806

Practitioners & affiliated clinicians

Practitioners 1

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": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1639483068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26810",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550810",
            "telephone_number": "512-415-1649",
            "fax_number": "512-291-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD",
            "address_2": "STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313158",
            "telephone_number": "512-415-1649",
            "fax_number": "512-291-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK PIERCE,MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-415-1649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 22, 2010; 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.