Organization Active NPI

Fine Eyewear

  • Corneal and Contact Management Optometrist
  • Cedar Park, TX
National Provider Identifier
1982779104
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
FINE EYEWEAR
Practice address
2800 E Whitestone Blvd
Suite 210
Cedar Park, TX 78613-7273
Phone
(512) 260-9779
Fax
(512) 260-3703
NPI assigned
Nov 22, 2006
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Vanessa Tran Minnick, O.D.NPI 1821277161
Title
Optometrist
Phone
(512) 260-9779

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
Corneal and Contact Management Optometrist 152WC0802X NU Primary

Addresses

Primary practice location

2800 E Whitestone Blvd
Suite 210
Cedar Park, TX 78613-7273

Mailing address

2800 E Whitestone Blvd
Suite 210
Cedar Park, TX 78613-7273
Phone (512) 260-9779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000322 TX Part B Supplier - Clinic/Group Practice 2365341104 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

2800 E Whitestone Blvd
Ste 210
Cedar Park, TX 78613
Phone (512) 260-9779

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1982779104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E WHITESTONE BLVD",
            "address_2": "SUITE 210",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137273",
            "telephone_number": "512-260-9779",
            "fax_number": "512-260-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E WHITESTONE BLVD",
            "address_2": "SUITE 210",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137273",
            "telephone_number": "512-260-9779",
            "fax_number": "512-260-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "512-260-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.