Organization Active NPI

Austin Optometrists PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1790198521
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4362TG Issued in TX
Legal business name
AUSTIN OPTOMETRISTS PLLC
Practice address
500 E Ben White Blvd
D-600
Austin, TX 78704-7470
Phone
(512) 912-0920
Fax
(512) 912-0980
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Li Wen Wang, OD
Title
Owner
Phone
(512) 912-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4362TG TX Primary

Addresses

Primary practice location

500 E Ben White Blvd
D-600
Austin, TX 78704-7470

Mailing address

500 E Ben White Blvd
D-600
Austin, TX 78704-7470
Phone (512) 912-0920

National Provider Directory

National Provider Directory

Locations

500 E Ben White Blvd
Ste D600
Austin, TX 78704
Phone (512) 912-0920

Practitioners & affiliated clinicians

Practitioners 1

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1790198521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E BEN WHITE BLVD",
            "address_2": "D-600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047470",
            "telephone_number": "512-912-0920",
            "fax_number": "512-912-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E BEN WHITE BLVD",
            "address_2": "D-600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047470",
            "telephone_number": "512-912-0920",
            "fax_number": "512-912-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN OPTOMETRISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LI",
        "authorized_official_middle_name": "WEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-912-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4362TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2014; 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.