Organization
LEANDER EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A PRESCOTT O.D. (OWNER/OD)
(512) 259-8484
Entity
Organization
Contact information
Practice address
1395 SOUTH U.S. HIGHWAY 183, SUITE 130, LEANDER, TX 78641
(512) 259-8484
(713) 995-0548
Mailing address
1395 SOUTH U.S. HIGHWAY 183, SUITE 130, LEANDER, TX 78641
(512) 259-8484
(713) 995-0548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6974T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212078401
—
TX
01
—
6974T
OPTOMETRY LICENSE
TX
Enumeration date
02/18/2010
Last updated
06/28/2011
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