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JOHNATHAN CARROLL O.D. PLLC NPI 1366968463


NPI Information

NPI: 1366968463
Provider Name: JOHNATHAN CARROLL O.D. PLLC

Doing Business As: DOUBLE CREEK EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 45D2196717

Address:
2681 GATTIS SCHOOL RD STE 100
ROUND ROCK, TX
ZIP 78664
Phone: (512) 898-9995
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JOHNATHAN CARROLL O.D. PLLC is an optometrist in Round Rock, TX. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. JOHNATHAN CARROLL O.D. PLLC NPI is 1366968463. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Double Creek Eye Care.

The provider's business location address is:

2681 GATTIS SCHOOL RD STE 100
ROUND ROCK, TX
ZIP 78664-057
Phone: (512) 898-9995
Fax: (512) 898-9994

The provider's authorized official is Johnathan Marvin Carroll .
The authorized official title is Owner and has the following contact phone number (512) 898-9995.

The CLIA number assigned to this NPI record is 45D2196717 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist8104TGTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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