Nancy Prevost, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

5592TG Issued in TX

Legal business name

NANCY PREVOST, PA

Doing business as

Lake Travis Eye Care

Practice address

3313 RR 620 S Ste 200
Austin, TX 78738-6812

Phone

(512) 263-3550

Fax

(512) 382-1924

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Nancy Prevost, ODNPI 1770588964

Title

Owner/President

Phone

(512) 263-3550

Specialties & licenses 1

Addresses

Other names 1

• Lake Travis Eye Care Doing business as

Locations

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.

• Nancy Prevost, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1770588964
  Authorized official Same address or phone

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1750553707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 RR 620 S STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386812",
            "telephone_number": "512-263-3550",
            "fax_number": "512-382-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 RR 620 S STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386812",
            "telephone_number": "512-263-3550",
            "fax_number": "512-382-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY PREVOST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "PREVOST",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-263-3550",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5592TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Travis Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Namkeen Care LLC
• Angella Namutebi, PMHNP
• Murray F. Nance, PA-C
• Nancy K Brown Therapy, PLLC
• Nancy P. Matteer, M.D., P.a.
• Rakhi Nandaram, PT
• Nandini Kohli MD PA (Austin Primary Care Physicians)
• Nanie Caregiver Services LLC
• Gayathri Nanja, M.D.
• Amber Nanni, MD

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.