Austin Eye Center PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

AUSTIN EYE CENTER PLLC

Practice address

9707 Anderson Mill Rd Ste 230
Austin, TX 78750-2300

Phone

(512) 693-9363

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Fuad Makkouk, MDNPI 1023454386

Title

Owner, Provider

Phone

(512) 826-1698

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Fuad Makkouk, MD

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1023454386
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1730737495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502300",
            "telephone_number": "512-826-1698",
            "fax_number": "512-287-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502300",
            "telephone_number": "512-693-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MAKKOUK",
        "authorized_official_first_name": "FUAD",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "512-826-1698",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE MEDICAL LICENSE",
            "identifier": "S0733",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Austin Exclusive Medical Supplies, L.L.C.
• Austin Eye Clinic Association
• Austin Eye Clinic Association
• Austin Family Allergy & Asthma, PA
• Austin Family Care, PLLC
• Austin Family Dental Spa PLLC

• 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 Jun 7, 2024; 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.