Organization Active NPI

King and Rose Optical, Inc.

  • Optometrist
  • Austin, TX
National Provider Identifier
1841740503
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7799-T Issued in TX
Legal business name
KING AND ROSE OPTICAL, INC.
Practice address
6701 Burnet Rd
Suite C2
Austin, TX 78757-2855
Phone
(737) 484-1512
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Dr. Drew Provost, O.D.
Title
Ceo
Phone
(737) 484-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7799-T TX Primary

Addresses

Primary practice location

6701 Burnet Rd
Suite C2
Austin, TX 78757-2855

Mailing address

6701 Burnet Rd
Suite C2
Austin, TX 78757-2855

National Provider Directory

National Provider Directory

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": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1841740503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BURNET RD",
            "address_2": "SUITE C2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 BURNET RD",
            "address_2": "SUITE C2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572855",
            "telephone_number": "737-484-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING AND ROSE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "737-484-1512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7799-T",
            "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 Oct 6, 2016; 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.