Lake Austin Eye PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LAKE AUSTIN EYE PLLC

Practice address

11614 Bee Caves Rd Ste 110
Austin, TX 78738-5551

Phone

(512) 263-1113

Fax

(512) 263-1119

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gina R Cottle, M.D.NPI 1407963432

Title

President

Phone

(512) 263-1113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Gina Rachelle Cottle, M.D.

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1407963432
  Medicare reassignment Care Compare group Authorized official
• Heather Victoria Broyles, DO

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1043714280
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1831444934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 RR 620 S STE 222",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "512-263-1113",
            "fax_number": "512-263-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 BEE CAVES RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385551",
            "telephone_number": "512-263-1113",
            "fax_number": "512-263-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3944 RR 620 S Ste 222",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787387000",
            "country_code": "US",
            "telephone_number": "512-263-1113",
            "fax_number": "512-263-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE AUSTIN EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "COTTLE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-263-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Laine, MSN, RN, FNP-C
• Romeo A Lainez, MD
• Yvette Ricks Lainez, CRNA
• Sara A. Laipis Eno, SLP
• Chiquitha A Laird, RN, NP-BC.
• Lake Austin Family Dental, PLLC
• Lake Creek Christian Counseling Center
• Lake Creek Dental
• Lake Mi Mobile Doctors P.C.
• Lake Pointe Dental Associates, PA

• Ophthalmology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.