Provider Demographics
NPI:1043800717
Name:BC EYEFITTERS PLLC
Entity Type:Organization
Organization Name:BC EYEFITTERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROXANA
Authorized Official - Middle Name:RODRIGUEZ
Authorized Official - Last Name:LEIJA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-744-6274
Mailing Address - Street 1:424 MALABAR ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5065
Mailing Address - Country:US
Mailing Address - Phone:512-744-6274
Mailing Address - Fax:512-744-6319
Practice Address - Street 1:4900 BEE CREEK RD STE 102
Practice Address - Street 2:
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-6776
Practice Address - Country:US
Practice Address - Phone:512-744-6274
Practice Address - Fax:512-744-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty