Provider Demographics
NPI:1043183478
Name:ONEOPTO TX 3 PLLC
Entity type:Organization
Organization Name:ONEOPTO TX 3 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-442-2308
Mailing Address - Street 1:3601 W WILLIAM CANNON DR STE 150
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1533
Mailing Address - Country:US
Mailing Address - Phone:512-441-8924
Mailing Address - Fax:512-442-4858
Practice Address - Street 1:3601 W WILLIAM CANNON DR STE 150
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1533
Practice Address - Country:US
Practice Address - Phone:512-441-8924
Practice Address - Fax:512-442-4858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty