Cedar Park Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

5874TG Issued in TX

Legal business name

CEDAR PARK EYE CARE PA

Practice address

210 N Lakeline Blvd Ste 100
Cedar Park, TX 78613-2088

Phone

(512) 249-0808

Fax

(512) 249-0828

NPI assigned

Nov 28, 2007

Last updated

Jan 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Roland McCarty, ODNPI 1083785950

Title

Owner

Phone

(512) 249-0808

Specialties & licenses 1

Addresses

Other names 1

• Cedar Park Eye Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Dennis Roland McCarty, OD

  • Optometrist
  • Cedar Park, TX
  • NPI 1083785950
  Medicare reassignment NPD Authorized official
• Monica Bhula, OD

  • Optometrist
  • Cedar Park, TX
  • NPI 1275109209
  NPD (past)
• Christina Nguyen Deane, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1891796629
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1912189374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132088",
            "telephone_number": "512-249-0808",
            "fax_number": "512-249-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132088",
            "telephone_number": "512-249-0808",
            "fax_number": "512-249-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PARK EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-249-0808",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5874TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Park Eye Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cedar Park Eye Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.