CENTRAL TEXAS EYE CLINIC, PA (NPI# 1487714374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487714374 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS EYE CLINIC, PA |
| Practice Address |
601 W Highway 6 Suite 108 Waco TX 76710-5591 |
| Mailing Address |
Po Box 21385 Waco TX 76702-1385 |
| Practice Telephone | 2547528328 |
| Practice Fax Number | 2547527724 |
| Mailing Telephone | 2547528328 |
| Mailing Fax Number | 2547527724 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | DR. LEWIS RICHARD KANNWISCHER (SECRETARY) |
| Authorized Official Telephone | 2547528328 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 082246201 | 05 | |
| TX | MEDICARE | 00DT98 | 01 |
| Street Address |
601 W HIGHWAY 6 SUITE 108 |
| City | WACO |
| State | TX |
| Zip Code | 76710-5591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376581579 | Mace L Brindley | Otolaryngology | 601 W Highway 6, Suite 106, Waco, TX 76710-5575 | 2006-06-02 |
| 1770809675 | Suzan Grabow | Audiologist | 601 W Highway 6, Suite 106, Waco, TX 76710-5591 | 2010-04-16 |
| 1164658910 | Lauren Elizabeth York | Audiologist | 601 W Highway 6, Suite 106, Waco, TX 76710-5591 | 2009-06-08 |
| 1861432171 | Waco Otolaryngology Associates | Otolaryngology | 601 W Highway 6, Suite 106, Waco, TX 76710-5575 | 2006-06-07 |
| 1790724839 | Bradford W Holland | Otolaryngology | 601 W Highway 6, Suite 106, Waco, TX 76710-5575 | 2006-06-05 |
| 1730127580 | James R Tandy | Otolaryngology | 601 W Highway 6, Suite 106, Waco, TX 76710-5575 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1760724553 | Michael Lee Rolfsen Jr. | Ophthalmology | 602 W State Highway 6, Waco, TX 76712-3977 | 2013-03-20 |
| 1316155443 | Ivan G Castillo-salazar | Ophthalmology | 7030 New Sanger Rd Ste 102, Waco, TX 76712-4073 | 2007-05-21 |
| 1750355442 | Scott H Smith | Ophthalmology | 5002 Lakeland Cir, Ste A, Waco, TX 76710-2976 | 2006-02-17 |
| 1356320154 | James V. Campbell | Ophthalmology | 7030 New Sanger Rd, Suite 102, Waco, TX 76712-3991 | 2006-01-11 |
| 1841293016 | Russell E Swann | Ophthalmology | 201 Londonderry Dr, Waco, TX 76712-7902 | 2005-05-23 |
| 1407291420 | Forrest Beau Swann | Ophthalmology | 201 Londonderry Dr, Waco, TX 76712-7931 | 2013-05-03 |
| 1285816850 | Russell E Swann M.d. Pa | Ophthalmology | 201 Londonderry Dr, Waco, TX 76712-7902 | 2007-12-05 |
| 1124228069 | Waco Optical Inc | Ophthalmology | 2400 Ambassador Dr, Waco, TX 76712-9702 | 2007-07-19 |
| 1962628503 | Ariana V Cunningham | Ophthalmology | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2007-04-18 |
| Find all providers in WACO | ||||
Please comment or provide details below to improve the information on CENTRAL TEXAS EYE CLINIC, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.