Provider Demographics
NPI:1558884577
Name:ACUITY VISION, PLLC
Entity Type:Organization
Organization Name:ACUITY VISION, PLLC
Other - Org Name:ACUITY EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEKAHUNA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-430-4350
Mailing Address - Street 1:4217 BENNER RD.
Mailing Address - Street 2:SUITE 450
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640
Mailing Address - Country:US
Mailing Address - Phone:512-430-4350
Mailing Address - Fax:512-430-4393
Practice Address - Street 1:4217 BENNER ROAD
Practice Address - Street 2:SUITE 450
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-7864
Practice Address - Country:US
Practice Address - Phone:979-571-0629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8242TG152W00000X, 152WC0802X, 152WS0006X, 152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Single Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1073946638OtherINDIVIDUAL NPI