Provider Demographics
NPI:1700669439
Name:ODS CARE PLLC
Entity Type:Organization
Organization Name:ODS CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRENSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:737-615-4233
Mailing Address - Street 1:7801 N LAMAR BLVD STE F34
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1041
Mailing Address - Country:US
Mailing Address - Phone:737-615-4233
Mailing Address - Fax:855-674-0596
Practice Address - Street 1:7801 N LAMAR BLVD STE F34
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1041
Practice Address - Country:US
Practice Address - Phone:737-615-4233
Practice Address - Fax:855-674-0596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty