Organization Active NPI

360 Vision PC

Doing business as Northwest Hills Eye Care

  • Optometrist
  • Austin, TX
National Provider Identifier
1902011398
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5146TG Issued in TX
Legal business name
360 VISION PC
Doing business as
Northwest Hills Eye Care
Practice address
3808 Spicewood Springs Rd Ste 100
Austin, TX 78759-8964
Phone
(512) 328-0555
Fax
(512) 340-0009
NPI assigned
May 11, 2007
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Laura Miller, O.D.NPI 1073593430
Title
President
Phone
(512) 328-0555

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5146TG TX Primary

Addresses

Primary practice location

3808 Spicewood Springs Rd Ste 100
Austin, TX 78759-8964

Mailing address

3808 Spicewood Springs Rd Ste 100
Austin, TX 78759-8964
Phone (512) 328-0555

Other names 1

  • Northwest Hills Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000137 TX Part B Supplier - Clinic/Group Practice 7810183654 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

3808 Spicewood Springs Rd
Ste 100
Austin, TX 78759
Phone (512) 328-0555

3921 Steck Ave
Ste A121
Austin, TX 78759
Phone (512) 328-0555

4512 S Pleasant Valley Rd
Austin, TX 78744
Phone (512) 328-0555

1545 Round Rock Ave
Ste 100A
Round Rock, TX 78681

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1902011398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598964",
            "telephone_number": "512-328-0555",
            "fax_number": "512-340-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 SPICEWOOD SPRINGS RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598964",
            "telephone_number": "512-328-0555",
            "fax_number": "512-340-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-328-0555",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5146TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Hills Eye Care",
            "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 Nov 17, 2010; 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.