Organization
GREAT HILLS EYE CARE, PC
Active
Parent organization
GREAT HILLS EYE CARE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT HILLS EYE CARE, PC
Authorized official
DR. DREW PROVOST OD (PRESIDENT)
(512) 934-4444
Entity
Organization
Contact information
Practice address
1901 KELLY LN STE A, PFLUGERVILLE, TX 78660
(512) 345-2000
(512) 345-2002
Mailing address
10401 RESEARCH BLVD STE A, AUSTIN, TX 78759-5712
(512) 345-2000
(512) 345-2002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/20/2023
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