Active NPI
Eyelid & Facial Plastic Surgery Associates PLLC
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- EYELID & FACIAL PLASTIC SURGERY ASSOCIATES PLLC
- Practice address
- 12201 Renfert Way Ste 100
Austin, TX 78758-5367 - Phone
- (650) 465-0438
- Fax
- (512) 763-4546
- NPI assigned
- Jun 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malena Amato, MD
- Title
- Owner
- Phone
- (650) 465-0438
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | Primary |
Addresses
Primary practice location
12201 Renfert Way Ste 100
Austin, TX 78758-5367
Mailing address
12201 Renfert Way Ste 100
Austin, TX 78758-5367
Phone (650) 465-0438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3944 Ranch Road 620 S
Bldg 222
Austin, TX 78738
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Austin, TX
- NPI 1275611352
Ophthalmic Plastic and Reconstructive Surgery
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1245572338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1932629490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585367",
"telephone_number": "650-465-0438",
"fax_number": "512-763-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585367",
"telephone_number": "650-465-0438",
"fax_number": "512-763-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYELID & FACIAL PLASTIC SURGERY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "AMATO",
"authorized_official_first_name": "MALENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-465-0438",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2022; 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.