Retina of Austin, PA

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

P2205 Issued in TX

Legal business name

RETINA OF AUSTIN, PA

Practice address

2501 RR 620 S Ste 130
Lakeway, TX 78734-6416

Phone

(512) 975-2020

Fax

(512) 975-3937

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Enrique Eduardo Calderon, MD

Title

Owner

Phone

(512) 975-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1861918625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 RR 620 S STE 130",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346416",
            "telephone_number": "512-975-2020",
            "fax_number": "512-975-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RR 620 S STE 130",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346416",
            "telephone_number": "512-975-2020",
            "fax_number": "512-975-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA OF AUSTIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-975-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "P2205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "P2205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Raymis
• Anne Reckart
• Shobha Dharam Reddy, M.D.
• Redoy Corporation
• Mara A Reilly, LMFT
• Ziba Rezaee, M.D.
• Kyle Murphy Rhodes, MD
• Jeffrey Jack Rice, MD
• Lindsey E. Richards, MD
• Kimberly Donn Rogers Richardson, P.T.

• Retina Specialist (Ophthalmology) Physician in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Retina Specialist (Ophthalmology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.