NPIMap

Organization Active NPI

Focus Optometry Group, PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1639752074
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FOCUS OPTOMETRY GROUP, PLLC
Practice address
7709 Menchaca Rd Unit 29
Austin, TX 78745-6026
Phone
(210) 454-9852
Fax
(512) 253-7928
NPI assigned
May 3, 2021
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Dr. Erik Williams Haselhorst, ODNPI 1073826806
Title
Optometrist
Phone
(210) 454-9852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7709 Menchaca Rd Unit 29
Austin, TX 78745-6026

Mailing address

7709 Menchaca Rd Unit 29
Austin, TX 78745-6026
Phone (210) 454-9852

Other identifiers 2

IdentifierTypeStateIssuer
217339505MedicaidTX
291719702MedicaidTX

National Provider Directory

National Provider Directory

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": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1639752074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 MENCHACA RD UNIT 29",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456026",
            "telephone_number": "210-454-9852",
            "fax_number": "512-253-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 MENCHACA RD UNIT 29",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456026",
            "telephone_number": "210-454-9852",
            "fax_number": "512-253-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS OPTOMETRY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "HASELHORST",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-454-9852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217339505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291719702",
            "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 May 3, 2021; 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.