Organization Active NPI

Austin Ruiz OD & Associates PC

Doing business as Killeen Eyecare Center

  • Optometrist
  • Killeen, TX
National Provider Identifier
1962475012
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AUSTIN RUIZ OD & ASSOCIATES PC
Doing business as
Killeen Eyecare Center
Practice address
416 N Gray St
Killeen, TX 76541-5247
Phone
(254) 634-7805
Fax
(254) 634-1034
NPI assigned
Feb 9, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
David Austin Ruiz, ODNPI 1013989219
Title
President
Phone
(254) 634-7805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

416 N Gray St
Killeen, TX 76541-5247

Mailing address

416 N Gray St
Killeen, TX 76541-5247
Phone (254) 634-7805

Other identifiers 1

IdentifierTypeStateIssuer
002302801MedicaidTX

Other names 1

  • Killeen Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

416 N Gray St
Killeen, TX 76541
Phone (254) 449-0166

Practitioners & affiliated clinicians

Practitioners 1

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1962475012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N GRAY ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765415247",
            "telephone_number": "254-634-7805",
            "fax_number": "254-634-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N GRAY ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765415247",
            "telephone_number": "254-634-7805",
            "fax_number": "254-634-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN RUIZ OD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-634-7805",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002302801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Killeen Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.