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NPI Code Detail

MEDICARE: MED SOUTHWEST, PLLC

MEDICARE: MED SOUTHWEST, PLLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1083568596
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED SOUTHWEST, PLLC
Provider Business Mailing Address
First Line : 8614 WESTWOOD CENTER DR FL 9
Second Line :
City : VIENNA
State : VA
Zip : 22182-2442
Country : US
Telephone Number : 703-847-8899
Fax Number : 571-223-6780
Provider Business Practice Location Address
First Line : 7415 SOUTHWEST PKWY
Second Line : BLDG 6 STE 300
City : AUSTIN
State : TX
Zip : 78735-8998
Country : US
Telephone Number : 512-328-7300
Fax Number : 512-328-7302
Authorized Official
Title or Position : SECRETARY
Name : SUE ANN DOWNES
Credential :
Telephone Number : 785-492-5871
Provider Enumeration Date : 02/23/2026
Last Update Date : 03/12/2026

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Directions to “MED SOUTHWEST, PLLC ” Practice Location

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