Avs Vision Round Rock LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

AVS VISION ROUND ROCK LLC

Practice address

2150 E Palm Valley Blvd Ste 300
Round Rock, TX 78665-1532

Phone

(956) 335-6476

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 433-6009

Specialties & licenses 2

Addresses

Other names 1

• My EyeLab Doing business as

Tax ID family

Avs Vision Round Rock LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avs Vision Round Rock LLC

  • Eyewear Supplier
  • Round Rock, TX
  • NPI 1699430181
  NPD tax ID

Locations

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1649932005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 RUFE SNOW DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E PALM VALLEY BLVD STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651532",
            "telephone_number": "956-335-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVS VISION ROUND ROCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avazach Psychiatry Services PLLC
• Mary Joanne Avena, NP-C
• Beth Heller Avery, M.A., L.P.C.
• Rocio Avila-Salinas, LCSW
• Yisrael Ben Avraham
• Avs Vision Round Rock LLC
• Sherine Awad
• Alyssa Marie Ayala
• Iris Beatriz Ayala, MS, CCC- SLP
• Michael Alan Aycock, D.O

• Eyewear Supplier in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.