Provider Demographics
NPI:1821523465
Name:EMMETROPIA LLC
Entity Type:Organization
Organization Name:EMMETROPIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-458-5367
Mailing Address - Street 1:7739 NORTHCROSS DR
Mailing Address - Street 2:SUITE T
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1700
Mailing Address - Country:US
Mailing Address - Phone:512-458-5367
Mailing Address - Fax:888-454-4279
Practice Address - Street 1:7739 NORTHCROSS DR
Practice Address - Street 2:SUITE T
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1700
Practice Address - Country:US
Practice Address - Phone:512-458-5367
Practice Address - Fax:888-454-4279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact LensGroup - Multi-Specialty
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Multi-Specialty
No156FX1101XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic AssistantGroup - Multi-Specialty