Provider Demographics
NPI:1003095704
Name:BEE CAVE EYECARE ESSENTIALS, INC.
Entity Type:Organization
Organization Name:BEE CAVE EYECARE ESSENTIALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOLAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARIT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-919-2535
Mailing Address - Street 1:12921 HILL COUNTRY BLVD
Mailing Address - Street 2:SUITE #D2-115
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738
Mailing Address - Country:US
Mailing Address - Phone:512-275-6354
Mailing Address - Fax:512-233-2535
Practice Address - Street 1:12921 HILL COUNTRY BLVD
Practice Address - Street 2:SUITE #D2-115
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738
Practice Address - Country:US
Practice Address - Phone:512-275-6354
Practice Address - Fax:512-233-2535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7046T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty