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Organization

EYE CLINIC OF AUSTIN PLLC

Active
Other names
EYE CLINIC OF AUSTIN PLLC THOMAS HENDERSON SOLE MB, Eye Clinic of Austin, EYE CLINIC OF AUSTIN PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
GRETA LAYNE (PRACTICE ADMINISTRATOR)
(512) 427-1107
Entity
Organization

Contact information

Practice address
3410 FAR WEST BLVD STE 140, AUSTIN, TX 78731-3167
(512) 427-1107
(512) 427-1207
Mailing address
3410 FAR WEST BLVD STE 140, AUSTIN, TX 78731-3167
(512) 427-1107
(512) 427-1207

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
06143TG
TX
207W00000X
Ophthalmology Physician
Primary
F4863
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
313929702
TX
05
PENDING
TX
Enumeration date
07/17/2012
Last updated
08/27/2026
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