NPIMap

Organization Active NPI

Signature Eye Care, P.a.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1770638181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6085TG Issued in TX
Legal business name
SIGNATURE EYE CARE, P.A.
Practice address
2051 Cypress Creek Rd
Ste M
Cedar Park, TX 78613-3623
Phone
(512) 250-1700
Fax
(512) 250-1769
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Oliver Kuang-Yen Lou, O.D.NPI 1528154002
Title
President, Secretary
Phone
(512) 250-1700

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6085TG TX Primary

Addresses

Primary practice location

2051 Cypress Creek Rd
Ste M
Cedar Park, TX 78613-3623

Mailing address

2051 Cypress Creek Rd
Ste M
Cedar Park, TX 78613-3623
Phone (512) 250-1700

Other identifiers 1

IdentifierTypeStateIssuer
80750QOtherTXBLUE CROSS BLUE SHIELD TX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000240 TX Part B Supplier - Clinic/Group Practice 0244365799 Receives reassigned benefits from 8 practitioners
Practice locations: Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

2071 Cypress Creek Rd
Cedar Park, TX 78613
Phone (512) 250-1700

2071 Cypress Creek Rd
Ofc
Cedar Park, TX 78613

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770638181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CYPRESS CREEK RD",
            "address_2": "STE M",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133623",
            "telephone_number": "512-250-1700",
            "fax_number": "512-250-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CYPRESS CREEK RD",
            "address_2": "STE M",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133623",
            "telephone_number": "512-250-1700",
            "fax_number": "512-250-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOU",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "KUANG-YEN",
        "authorized_official_title_or_position": "PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "512-250-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6085TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "80750Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.