| NPI | 1164766929 |
|---|---|
| Doing Business As | AUSTIN EYE GYM |
| Entity Type | Organization |
| Authorized Contact | MARY BECK Optometrist 512-219-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: TX 7041TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7041TG) |
| 152WP0200X Optometrist, Pediatrics (Licence: TX 7041TG) | |
| 152WS0006X Optometrist, Sports Vision (Licence: TX 7041TG) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: TX 7041TG) | |
| Enumeration Date | 2012-11-18 |
| Last Update Date | 2014-12-04 |