Texan Eye, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

G3889 Issued in TX

Legal business name

TEXAN EYE, PA

Practice address

85 Loop 150 West
Bastrop, TX 78602

Phone

(512) 303-7300

Fax

(512) 303-2148

NPI assigned

Sep 21, 2006

Organization subpart

Yes

Parent organization

TEXAN EYE, PAAs reported in NPPES

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

Authorized official

Name

Roberta M Moore

Title

Patient Account Manager

Phone

(512) 314-1632

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205813961

  O20040506000650

  Same enrollment

Part of

Texan Eye Care

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Texan Eye, PA

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1205813961
  NPPES parent name

Practitioners 3

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

• Kyla R Aschenbeck, MD

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1982091674
  NPD
• Joanne Nguyen, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1710660964
  NPD
• Thomas Richard Walters, MD

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1609852664
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1841399722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LOOP 150 WEST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "78602",
            "telephone_number": "512-303-7300",
            "fax_number": "512-303-2148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Starwood Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786139099",
            "country_code": "US",
            "telephone_number": "512-327-7000",
            "fax_number": "512-259-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAN EYE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAN EYE, PA",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "512-314-1632"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "G3889",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G3889",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "G3889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085574301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.