Provider Demographics
NPI:1922106269
Name:CAPITAL EYE CARE PC
Entity Type:Organization
Organization Name:CAPITAL EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTOMOTRIST
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:G
Authorized Official - Last Name:GASPARINI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-294-3066
Mailing Address - Street 1:5501 BALCONES DR STE A
Mailing Address - Street 2:PMB 210
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-5043
Mailing Address - Country:US
Mailing Address - Phone:512-345-2595
Mailing Address - Fax:512-692-1873
Practice Address - Street 1:9300 SOUTH IH 35
Practice Address - Street 2:B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748
Practice Address - Country:US
Practice Address - Phone:512-345-2595
Practice Address - Fax:512-692-1873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5858TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty