Organization Active NPI

Texan Eye, PA

  • Eyewear Supplier
  • Austin, TX
National Provider Identifier
1669418471
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
TEXAN EYE, PA
Practice address
1700 S Mopac Expressway
Austin, TX 78746
Phone
(512) 327-7000
Fax
(512) 327-5200
NPI assigned
Jun 21, 2006
Organization subpart
Yes
Parent organization
TEXAN EYE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Roberta M Moore
Title
Patient Account Manager
Phone
(512) 314-1632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1700 S Mopac Expressway
Austin, TX 78746

Mailing address

5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000

Other identifiers 1

IdentifierTypeStateIssuer
083126501MedicaidTX

National Provider Directory

National Provider Directory
Part of
Texan Eye Care

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1669418471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S MOPAC EXPRESSWAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-327-7000",
            "fax_number": "512-327-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN EYE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAN EYE, PA",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "512-314-1632"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083126501",
            "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 2, 2020; 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.