Provider Demographics
NPI:1861077646
Name:EYE SPECIALISTS OF AUSTIN, PA
Entity type:Organization
Organization Name:EYE SPECIALISTS OF AUSTIN, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THAD
Authorized Official - Middle Name:
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-983-3933
Mailing Address - Street 1:1025 N AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-4517
Mailing Address - Country:US
Mailing Address - Phone:830-379-1184
Mailing Address - Fax:830-303-2314
Practice Address - Street 1:1025 N AUSTIN ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-4517
Practice Address - Country:US
Practice Address - Phone:830-379-1184
Practice Address - Fax:830-303-2314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-13
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty