Provista Eye Clinic

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PROVISTA EYE CLINIC

Practice address

1109A E 6TH St
Austin, TX 78702-3210

Phone

(512) 326-5900

Fax

(512) 326-5988

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Vargas, MDNPI 1508992223

Title

MD Owner

Phone

(512) 326-5900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Elite Eye Specialists

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1497842439
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Vargas, M.D.

  • Ophthalmology Physician
  • Loma Linda, CA
  • NPI 1508992223
  NPD (past) Authorized official
• Lara T. Dudek, MD

  • Ophthalmology Physician
  • Dripping Springs, TX
  • NPI 1740461136
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1700973740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109A E 6TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023210",
            "telephone_number": "512-326-5900",
            "fax_number": "512-326-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109A E 6TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023210",
            "telephone_number": "512-326-5900",
            "fax_number": "512-326-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISTA EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "512-326-5900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3376983",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0054KP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providacare Medical Supply LTD
• Providence Service Corporation of Texas
• Provident Memory Care Group, LLC (Sodalis Elder Living)
• Providers 2 You, PLLC
• Providing Justice LLC
• Drew Provost, O.D.
• Kate Lindsay Provost, R.D., L.D.
• Angela Christine Prows, CRNA
• Proximity Learning Inc.
• Roy Pruden, MD

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.