Active NPI
Budaful Eyes PLLC
- Optometrist
- Buda, TX
National Provider Identifier
1992367460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BUDAFUL EYES PLLC
- Practice address
- 15550 S Ih 35 Frontage Rd
107
Buda, TX 78610 - Phone
- (512) 598-5981
- NPI assigned
- Jul 3, 2019
- 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
- Michael Adrian Chavez, OD
- Title
- Managing Member
- Phone
- (512) 598-5981
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X |
Addresses
Primary practice location
15550 S Ih 35 Frontage Rd
107
Buda, TX 78610
Mailing address
15550 S Ih 35 Frontage Rd
107
Buda, TX 78610
Phone (512) 598-5981
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Buda |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191216001969 | TX | Part B Supplier - Clinic/Group Practice | 4688008196 |
Receives reassigned benefits from 1 practitioner Practice locations: Buda, TX |
National Provider Directory
National Provider DirectoryLocations
15550 S Ih 35
Ste 107
Buda, TX 78610
Phone (512) 598-5981
Practitioners & affiliated clinicians
Practitioners 1
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": "1562112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575590400000",
"number": "1992367460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 S IH 35 FRONTAGE RD",
"address_2": "107",
"city": "BUDA",
"state": "TX",
"postal_code": "78610",
"telephone_number": "512-598-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15550 S IH 35 FRONTAGE RD",
"address_2": "107",
"city": "BUDA",
"state": "TX",
"postal_code": "78610",
"telephone_number": "512-598-5981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUDAFUL EYES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-03",
"last_updated": "2019-12-06",
"status": "A",
"authorized_official_last_name": "CHAVEZ",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ADRIAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "512-598-5981",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Buda",
"affiliation": "N",
"address_1": "15550 S IH 35 Frontage Rd",
"address_2": "107",
"city": "Buda",
"state": "TX",
"country_code": "US",
"postal_code": "78610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.