Healthcare Provider Details

I. General information

NPI: 1043183478
Provider Name (Legal Business Name): ONEOPTO TX 3 PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W WILLIAM CANNON DR STE 150
AUSTIN TX
78749-1533
US

IV. Provider business mailing address

3601 W WILLIAM CANNON DR STE 150
AUSTIN TX
78749-1533
US

V. Phone/Fax

Practice location:
  • Phone: 512-441-8924
  • Fax: 512-442-4858
Mailing address:
  • Phone: 512-441-8924
  • Fax: 512-442-4858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SALLY HAM
Title or Position: PRESIDENT
Credential:
Phone: 512-442-2308