Contract Details
Ancillary Care Services
Facility name
Lone Star Eye
Provider ID
P000004950
NPI
1619289873
Tax ID
273135992
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2700 Barton Creek Boulevard Suite 110
Austin, TX 78735
United States
County
Travis
Phone
5123287300 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address