Organization Active NPI

Resolution Eyecare Round Rock, PLLC

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1912763293
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RESOLUTION EYECARE ROUND ROCK, PLLC
Practice address
2150 E Palm Valley Blvd Ste 300
Round Rock, TX 78665-1532
Phone
(512) 739-7550
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Justine Hung, ODNPI 1063852838
Title
Owner
Phone
(832) 647-1621

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 Primary

Addresses

Primary practice location

2150 E Palm Valley Blvd Ste 300
Round Rock, TX 78665-1532

Mailing address

6929 Airport Blvd Ste 165
Austin, TX 78752-3616
Phone (512) 580-9035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240806000762 TX Part B Supplier - Clinic/Group Practice 6002353273 Receives reassigned benefits from 3 practitioners
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1912763293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 AIRPORT BLVD STE 165",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523616",
            "telephone_number": "512-580-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E PALM VALLEY BLVD STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651532",
            "telephone_number": "512-739-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION EYECARE ROUND ROCK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "HUNG",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-647-1621",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.