Healthcare Provider Details

I. General information

NPI: 1386350577
Provider Name (Legal Business Name): NATASHA ANA MARIA GASSER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3908 FAR WEST BLVD
AUSTIN TX
78731-2994
US

IV. Provider business mailing address

3908 FAR WEST BLVD
AUSTIN TX
78731-2994
US

V. Phone/Fax

Practice location:
  • Phone: 512-343-0432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number10971TG
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: