Resolution Eyecare Tech Ridge, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RESOLUTION EYECARE TECH RIDGE, PLLC

Practice address

12901 N Interstate Hwy 35
Ste 1305a
Austin, TX 78753

Phone

(512) 739-7550

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justine Yijiun Hung, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1063852838
  Medicare reassignment NPD Authorized official
• Li-Fang Hung, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1669753786
  Medicare reassignment NPD
• Shawn Matsumoto, OD

  • Optometrist
  • Round Rock, TX
  • NPI 1639069081
  Medicare reassignment NPD
• Kelly Li Zhu, OD

  • Optometrist
  • Austin, TX
  • NPI 1821831165
  Medicare reassignment NPD

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": "1922864206",
    "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": "12901 N INTERSTATE HWY 35",
            "address_2": "STE 1305A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78753",
            "telephone_number": "512-739-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION EYECARE TECH RIDGE, 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": []
}

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• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• 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.