Organization Active NPI

Sia Vip PLLC

Doing business as Sia Eye Care

  • Glaucoma Specialist (Ophthalmology) Physician
  • Austin, TX
National Provider Identifier
1740031160
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
Legal business name
SIA VIP PLLC
Doing business as
Sia Eye Care
Practice address
4207 James Casey St Ste 303
Austin, TX 78745-1193
Phone
(512) 443-2046
NPI assigned
Apr 1, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SIA VIP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Dr. Irina Volosko, DONPI 1023520624
Title
DO
Phone
(415) 570-1275

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
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0009X Primary

Addresses

Primary practice location

4207 James Casey St Ste 303
Austin, TX 78745-1193

Mailing address

4207 James Casey St Ste 303
Austin, TX 78745-1193
Phone (512) 443-2046

Other names 1

  • Sia Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709004323 TX Part B Supplier - Clinic/Group Practice 6002351566 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory
Part of
Sia Vip PLLC

Locations

2501 R R 620 S
Ste 130
Lakeway, TX 78738
Phone (512) 975-0706

Interoperability endpoints

  • Direct secure messaging: ivolosko@volosko.intellechartdirect.net

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": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1740031160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 JAMES CASEY ST STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451193",
            "telephone_number": "512-443-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 JAMES CASEY ST STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451193",
            "telephone_number": "512-443-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIA VIP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIA VIP PLLC",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "VOLOSKO",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "415-570-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sia Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sia Eye Care",
            "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 Sep 6, 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.