NPIMap

Organization Active NPI

Lauren & Alex Eye Pro LLC

  • Optometrist
  • Leander, TX
National Provider Identifier
1801559612
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAUREN & ALEX EYE PRO LLC
Practice address
651 N Highway 183 Ste 265
Leander, TX 78641-7012
Phone
(512) 345-5642
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Jimmy Price
Title
Credentialing Specialist
Phone
(832) 277-6870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

651 N Highway 183 Ste 265
Leander, TX 78641-7012

Mailing address

11218 Gallant Ridge LN
Houston, TX 77082-2754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118001312 TX Part B Supplier - Clinic/Group Practice 5496144172 Receives reassigned benefits from 9 practitioners
Practice locations: Hutto, TX; Leander, TX

National Provider Directory

National Provider Directory
Tax ID family
Lauren Alex Eye Pro LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4909 Gattis School Rd
Ste 105
Hutto, TX 78634
Phone (512) 617-3155

651 N Highway 183
#256
Leander, TX 78641
Phone (512) 980-6700

651 N Highway 183
Ste 265
Leander, TX 78641
Phone (512) 345-5642

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

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": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1801559612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11218 GALLANT RIDGE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N HIGHWAY 183 STE 265",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417012",
            "telephone_number": "512-345-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN & ALEX EYE PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "832-277-6870"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.