Provider Demographics
NPI:1598995953
Name:SIMONEK, EMILY (OD)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:SIMONEK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:10515 N MO PAC EXPY
Mailing Address - Street 2:SUITE 115
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5324
Mailing Address - Country:US
Mailing Address - Phone:512-345-7290
Mailing Address - Fax:512-345-7377
Practice Address - Street 1:1900 ALDRICH ST STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3594
Practice Address - Country:US
Practice Address - Phone:512-953-5838
Practice Address - Fax:844-273-1661
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7437T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist