MEDICARE: AUSTIN OCULOPLASTICS 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
1	208200000X	Plastic Surgery Physician
2	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician

General Provider Information

NPI Number	:	1871982017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN OCULOPLASTICS PLLC

Provider Business Mailing Address
First Line	:	7004 BEE CAVES RD STE 100
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5004
Country	:	US
Telephone Number	:	512-642-5050
Fax Number	:	512-642-8186

Provider Business Practice Location Address
First Line	:	7004 BEE CAVES RD STE 100
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5004
Country	:	US
Telephone Number	:	512-642-5050
Fax Number	:	512-642-8186

Authorized Official
Title or Position	:	PHYSICIAN OWNER/CEO
Name	:	DR. SEAN PAUL
Credential	:	M.D.
Telephone Number	:	512-642-5050

Provider Enumeration Date	:	01/12/2015
Last Update Date	:	09/12/2023

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