Organization
STARS IN YOUR EYES VISION TRAINING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SCHOTTMAN O.D. (OWNER)
(512) 419-1212
Entity
Organization
Contact information
Practice address
3305 NORTHLAND DR STE 312, AUSTIN, TX 78731-4961
(512) 419-1212
Mailing address
3305 NORTHLAND DR STE 312, AUSTIN, TX 78731-4961
(512) 419-1212
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
5531T
TX
152WS0006X
Sports Vision Optometrist
5531T
TX
152WV0400X
Vision Therapy Optometrist
Primary
5531T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5531T
TEXAS BOARD OF OPTOMETRY
TX
Enumeration date
06/09/2011
Last updated
06/09/2011
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