Organization
WATERLOO EYE ASSOCIATES
Active
Other names
Hill Country Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT ANTHONY RESTIVO MD (PRESIDENT)
(512) 528-1144
Entity
Organization
Contact information
Practice address
12171 W PARMER LN, SUITE 201, CEDAR PARK, TX 78613-7361
(512) 528-1144
(512) 528-1143
Mailing address
12171 W PARMER LN, SUITE 201, CEDAR PARK, TX 78613-7361
(512) 528-1144
(512) 528-1143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059MS
BCBS OF TEXAS GROUP #
TX
05
—
173907001
—
TX
Enumeration date
01/23/2006
Last updated
12/12/2012
Update your record
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