Organization
CENTRAL TEXAS RETINA AND VITREOUS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SMITH MD (PHYSICIAN)
(512) 241-1806
Entity
Organization
Contact information
Practice address
7200 N MOPAC EXPY, SUITE 200, AUSTIN, TX 78731-3069
(512) 241-1806
(512) 623-7892
Mailing address
7200 N MOPAC EXPY, SUITE 200, AUSTIN, TX 78731-3069
(512) 241-1806
(512) 623-7892
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287338201
—
TX
01
—
DS2655
RR MEDICARE
—
Enumeration date
09/22/2011
Last updated
04/30/2025
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