Organization Active NPI

Local Eyes Optometry PLLC

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1720640022
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOCAL EYES OPTOMETRY PLLC
Practice address
312 FM 306
Suite 110
New Braunfels, TX 78130
Phone
(830) 627-9272
NPI assigned
Jul 8, 2019
Last updated
Sep 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Authorized official

Name
Dr. Marcus W. Page, ODNPI 1033551627
Title
Optometrist
Phone
(830) 627-9272

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 NU Primary

Addresses

Primary practice location

312 FM 306
Suite 110
New Braunfels, TX 78130

Mailing address

1326 Yaupon Loop
New Braunfels, TX 78132-2973
Phone (830) 627-9272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104000068 TX Part B Supplier - Clinic/Group Practice 0941532436 Receives reassigned benefits from 2 practitioners
Practice locations: New Braunfels, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2219711Local Eyes Optometry PLLC312 FM 306, Suite 110, New Braunfels, TX 78130Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

312 FM 306
Ste 110
New Braunfels, TX 78130
Phone (210) 845-0383

Practitioners & affiliated clinicians

Practitioners 2

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": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1720640022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 YAUPON LOOP",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322973",
            "telephone_number": "830-627-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 FM 306",
            "address_2": "SUITE 110",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-627-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCAL EYES OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "830-627-9272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.