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NPI Code Detail

MEDICARE: WESTLAKE HILLS VISION CENTER PLLC

MEDICARE: WESTLAKE HILLS VISION CENTER 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
1152W00000XOptometrist7535TGTX

General Provider Information

NPI Number : 1225336605
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTLAKE HILLS VISION CENTER PLLC
Provider Business Mailing Address
First Line : 3808 MANCHACA RD
Second Line :
City : AUSTIN
State : TX
Zip : 78704-6734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3801 N CAPITAL OF TEXAS HWY
Second Line : C-100
City : AUSTIN
State : TX
Zip : 78746-1416
Country : US
Telephone Number : 620-272-4149
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. ADAM DREES
Credential : O.D.
Telephone Number : 620-272-4149
Provider Enumeration Date : 03/08/2011
Last Update Date : 03/08/2011

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Directions to “WESTLAKE HILLS VISION CENTER PLLC ” Practice Location

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