Organization Active NPI

Lone Star Eye PLLC

  • Optometrist
  • Austin, TX
National Provider Identifier
1972804169
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7577TG Issued in TX
Legal business name
LONE STAR EYE PLLC
Practice address
2700 Barton Creek Blvd
Suite 110
Austin, TX 78735-1641
Phone
(512) 328-7300
Fax
(512) 328-7303
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
James C. Packer, ODNPI 1619289873
Title
Owner
Phone
(512) 328-7300

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 7577TG TX Primary

Addresses

Primary practice location

2700 Barton Creek Blvd
Suite 110
Austin, TX 78735-1641

Mailing address

2700 Barton Creek Blvd
Suite 110
Austin, TX 78735-1641
Phone (512) 328-7300

Other identifiers 1

IdentifierTypeStateIssuer
7577TGOtherTXTEXAS OPTOMETRY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000489 TX Part B Supplier - Clinic/Group Practice 6305028010 Receives reassigned benefits from 6 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

7415 Southwest Pkwy
Austin, TX 78735

Practitioners & affiliated clinicians

Practitioners 6

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": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1972804169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BARTON CREEK BLVD",
            "address_2": "SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351641",
            "telephone_number": "512-328-7300",
            "fax_number": "512-328-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BARTON CREEK BLVD",
            "address_2": "SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351641",
            "telephone_number": "512-328-7300",
            "fax_number": "512-328-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-328-7300",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7577TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "7577TG",
            "state": "TX"
        }
    ],
    "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 Mar 9, 2011; 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.