Organization
EYE CAPITOL, P.A.
Active
Other names
Eye Capitol
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHAVEZ O.D. (PRESIDENT)
(915) 433-8523
Entity
Organization
Contact information
Practice address
1144 AIRPORT BLVD STE 235, AUSTIN, TX 78702-3163
(915) 433-8523
Mailing address
1144 AIRPORT BLVD STE 235, AUSTIN, TX 78702-3163
(915) 433-8523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6889TG
TX
152WC0802X
Corneal and Contact Management Optometrist
6889TG
TX
152WP0200X
Pediatric Optometrist
6889TG
TX
152WS0006X
Sports Vision Optometrist
6889TG
TX
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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