Healthcare Provider Details

I. General information

NPI: 1699609529
Provider Name (Legal Business Name): PLUS EYECARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WALTON WAY STE 102
CEDAR PARK TX
78613-7017
US

IV. Provider business mailing address

1104 SABINE ST UNIT 2306
AUSTIN TX
78701-1967
US

V. Phone/Fax

Practice location:
  • Phone: 512-259-7104
  • Fax: 512-259-7063
Mailing address:
  • Phone: 512-413-6916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHI QUYNH NGO
Title or Position: OPTOMETRIST
Credential: OD
Phone: 512-413-6916