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NPI Code Detail

MEDICARE: WESTLAKE EYECARE, PLLC

MEDICARE: WESTLAKE EYECARE, 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
1152W00000XOptometrist07463TGTX

General Provider Information

NPI Number : 1669763645
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTLAKE EYECARE, PLLC
Provider Business Mailing Address
First Line : 4613 BEE CAVE RD
Second Line : SUITE 201
City : WEST LAKE HILLS
State : TX
Zip : 78746-5203
Country : US
Telephone Number : 512-347-0700
Fax Number : 512-347-0702
Provider Business Practice Location Address
First Line : 4613 BEE CAVE RD
Second Line : SUITE 201
City : WEST LAKE HILLS
State : TX
Zip : 78746-5203
Country : US
Telephone Number : 512-347-0700
Fax Number : 512-347-0702
Authorized Official
Title or Position : OWNER
Name : DR. KATIE KAUFMAN
Credential : O.D.
Telephone Number : 316-214-7443
Provider Enumeration Date : 04/26/2011
Last Update Date : 11/17/2011

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Directions to “WESTLAKE EYECARE, PLLC ” Practice Location

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