Provider Demographics
NPI:1548373830
Name:EYE INSTITUTE OF AUSTIN
Entity type:Organization
Organization Name:EYE INSTITUTE OF AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-454-8744
Mailing Address - Street 1:3300 W ANDERSON LN
Mailing Address - Street 2:#308
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1023
Mailing Address - Country:US
Mailing Address - Phone:512-454-8744
Mailing Address - Fax:
Practice Address - Street 1:3300 W ANDERSON LN
Practice Address - Street 2:#308
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1023
Practice Address - Country:US
Practice Address - Phone:512-454-8744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Multi-Specialty
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093815101Medicaid
TX00ES58OtherBCBS OF TEXAS GROUP #
TX0263580003Medicare NSC
TX00ES58Medicare PIN