DR. JOHNATHAN MARVIN CARROLL (NPI# 1699026963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699026963 |
| Entity Type | Individual |
| Full Name | DR. JOHNATHAN MARVIN CARROLL |
| Credential | O.D. |
| Practice Address |
2681 Gattis School Rd Ste 100 Round Rock TX 78664-2057 |
| Practice Telephone | (512) 898-9995 |
| Practice Fax Number | 5128989994 |
| Mailing Telephone | (512) 898-9995 |
| Mailing Fax Number | 5128989994 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 8104TG | TX | Eye and Vision Services Providers |
| Street Address |
2681 GATTIS SCHOOL RD STE 100 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968463 | Johnathan Carroll O.d. Pllc | Optometrist | 2681 Gattis School Rd Ste 100, Round Rock, TX 78664-2057 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298636 | Dr Stengel and Associates Pllc | Optometrist | 1025 Sendero Springs Dr Ste 150, Round Rock, TX 78681-1154 | 2019-07-25 |
| 1346718772 | Kayla Ashley Kindla | Optometrist | 2601 S Ih 35 Ste C100, Round Rock, TX 78664-7336 | 2018-11-03 |
| 1073008413 | Sabeen Ali | Optometrist | 3107 S Interstate 35 Ste 780b, Round Rock, TX 78664-9352 | 2018-06-27 |
| 1255880423 | Spanish Oaks Eyecare Pllc | Optometrist | 13625 Ronald W Reagan Blvd, Building 8, Suite 200, Round Rock, TX 78681 | 2016-09-28 |
| 1609226794 | Carissa Lumby | Optometrist | 7700 Cat Hollow Dr Ste 105, Round Rock, TX 78681-5797 | 2016-06-20 |
| 1265816540 | Irene Renee Fuentes | Optometrist | 1202 N Interstate 35, Round Rock, TX 78681-4221 | 2015-07-16 |
| 1306275821 | Gsr Eyecare | Optometrist | 2051 Gattis School Rd Ste 160, Round Rock, TX 78664-7442 | 2013-11-05 |
| 1659648699 | Kp Eyecare, Pllc | Optometrist | 1819 White Indigo Trl, Round Rock, TX 78665-2818 | 2011-11-18 |
| 1790072064 | Linh Lien Tang | Optometrist | 3107 S Ih 35 Ste 780b, Round Rock, TX 78664-9352 | 2011-07-07 |
| 1912218082 | W. Ryan Butler Od Pllc | Optometrist | 1150 Ih35 North Suite 500, Round Rock, TX 78681-4221 | 2010-06-23 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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| 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.