Organization Active NPI

Tanglewood Vision Center, PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1881615433
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5582TG Issued in TX
Legal business name
TANGLEWOOD VISION CENTER, PLLC
Practice address
2110 Slaughter LN W
Ste 129
Austin, TX 78748-5992
Phone
(512) 280-0520
Fax
(512) 280-1656
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Dr. Joseph James McGowan, ODNPI 1740255215
Title
Owner /
Phone
(512) 280-0520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5582TG TX Primary

Addresses

Primary practice location

2110 Slaughter LN W
Ste 129
Austin, TX 78748-5992

Mailing address

2110 Slaughter LN W
Ste 129
Austin, TX 78748-5992
Phone (512) 280-0520

Other names 1

  • Joseph J McGowan OD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180316000612 TX Part B Supplier - Clinic/Group Practice 7810259512 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2110 W Slaughter Ln
Ste 129
Austin, TX 78748
Phone (512) 280-0520

2110 W Slaughter Ln
Ste 123
Austin, TX 78748
Phone (512) 280-0520

Practitioners & affiliated clinicians

Practitioners 2

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1881615433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SLAUGHTER LN W",
            "address_2": "STE 129",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485992",
            "telephone_number": "512-280-0520",
            "fax_number": "512-280-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 SLAUGHTER LN W",
            "address_2": "STE 129",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485992",
            "telephone_number": "512-280-0520",
            "fax_number": "512-280-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLEWOOD VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER /",
        "authorized_official_telephone_number": "512-280-0520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5582TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph J McGowan OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2018; 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.