MEDICARE: ROUND ROCK EYE CONSULTANTS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1003280587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROUND ROCK EYE CONSULTANTS PA

Provider Business Mailing Address
First Line	:	4807 SPICEWOOD SPRINGS RD
Second Line	:	BLDG 2 STE 101
City	:	AUSTIN
State	:	TX
Zip	:	78759-8444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4807 SPICEWOOD SPRINGS RD
Second Line	:	BLDG 2 STE 101
City	:	AUSTIN
State	:	TX
Zip	:	78759-8444
Country	:	US
Telephone Number	:	512-248-4007
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH MEYER
Credential	:
Telephone Number	:	512-248-4007

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	11/19/2015

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