Provider Demographics
NPI:1346474335
Name:SAGE EYE CARE SERVICES
Entity Type:Organization
Organization Name:SAGE EYE CARE SERVICES
Other - Org Name:EYE CARE RESOURCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMLA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARBY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-970-3937
Mailing Address - Street 1:300 WEST AVE
Mailing Address - Street 2:#3324
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3840
Mailing Address - Country:US
Mailing Address - Phone:512-970-3937
Mailing Address - Fax:888-310-6367
Practice Address - Street 1:12901 N. I 35 SERVICE RD.
Practice Address - Street 2:BUILDING 3 UNIT 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753
Practice Address - Country:US
Practice Address - Phone:512-970-3937
Practice Address - Fax:888-310-6367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7349T261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service