Organization Active NPI

Abbadondo Enterprises PLLC

Doing business as Westlake Hills Vision Center

  • Optometrist
  • Austin, TX
National Provider Identifier
1679062798
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7669TG Issued in TX
Legal business name
ABBADONDO ENTERPRISES PLLC
Doing business as
Westlake Hills Vision Center
Practice address
3801 N Capital of Texas Hwy Ste C100
Austin, TX 78746-1466
Phone
(512) 651-5186
NPI assigned
May 3, 2018
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Susan Elizondo, ODNPI 1073814216
Title
Owner/Physician
Phone
(210) 288-6716

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
Optometrist 152W00000X 7669TG TX Primary

Addresses

Primary practice location

3801 N Capital of Texas Hwy Ste C100
Austin, TX 78746-1466

Mailing address

3801 N Capital of Texas Hwy Ste C100
Austin, TX 78746-1466
Phone (210) 288-6716

Other practice location 1

3908 Far West Blvd
Austin, TX 78731-2994
Phone (210) 288-6716

Other identifiers 1

IdentifierTypeStateIssuer
1073814216OtherNPPES

Other names 1

  • Westlake Hills Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190206000754 TX Part B Supplier - Clinic/Group Practice 3971841560 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1679062798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE C100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461466",
            "telephone_number": "210-288-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE C100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461466",
            "telephone_number": "512-651-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3908 Far West Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787312994",
            "country_code": "US",
            "telephone_number": "210-288-6716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABBADONDO ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-288-6716",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7669TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073814216",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Hills Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.