MEDICARE: DR. VINCENT ANTHONY RESTIVO M.D.

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	K6970	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8S5180	OTHER	TX	BCBS OF TEXAS INDIVIDUAL #

General Provider Information

NPI Number	:	1811967821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINCENT ANTHONY RESTIVO M.D.

Provider Business Mailing Address
First Line	:	11901 W PARMER LN
Second Line	:	STE 400
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-7655
Country	:	US
Telephone Number	:	512-528-1144
Fax Number	:	512-528-1143

Provider Business Practice Location Address
First Line	:	12171 W PARMER LN
Second Line	:	SUITE 201
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-7361
Country	:	US
Telephone Number	:	512-528-1144
Fax Number	:	512-528-1143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	05/06/2016

Similar Medicare Providers

1407826415 — WATERLOO EYE ASSOCIATES
Practice Location Address:

12171 W PARMER LN , SUITE 201
CEDAR PARK, TX
78613-7361

Practice Phone: 512-528-1144
Practice Fax: 512-528-1143

1891885950 — DR. JASON WADE DYSON D.D.S.
Practice Location Address:

12171 W PARMER LN , SUITE #101
CEDAR PARK, TX
78613-7361

Practice Phone: 512-528-8900
Practice Fax: 512-528-8903

1700955689 — AMY NEUHOFF ROBERTSON M.D.
Practice Location Address:

12171 W PARMER LN , STE 201
CEDAR PARK, TX
78613-7361

Practice Phone: 512-528-1144
Practice Fax: 512-528-1143

1114133972 — DR. BLAIR RUSS BARNETT D.D.S., M.S.
Practice Location Address:

12171 W PARMER LN , SUITE 102
CEDAR PARK, TX
78613-7361

Practice Phone: 512-260-0084
Practice Fax:

1629345616 — GOODWIN CHIROPRACTIC & ACUPUNCTURE
Practice Location Address:

12171 W PARMER LN , SUITE 203
CEDAR PARK, TX
78613-7361

Practice Phone: 512-588-1501
Practice Fax:

1912902552 — VALLEY HOME MEDICAL SUPPLY
Practice Location Address:

7361 TOPANGA CANYON BLVD
CANOGA PARK, CA
91303-3387

Practice Phone: 818-225-7705
Practice Fax: 818-225-1024

Directions to “ DR. VINCENT ANTHONY RESTIVO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.