Healthcare Provider Details

I. General information

NPI: 1801708391
Provider Name (Legal Business Name): FAMILY FIRST VISION CARE TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 N HIGHWAY 183 STE 265
LEANDER TX
78641-7012
US

IV. Provider business mailing address

4909 GATTIS SCHOOL RD STE 105
HUTTO TX
78634-2537
US

V. Phone/Fax

Practice location:
  • Phone: 512-980-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KRYSTAL FALLIN
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 512-980-6700