Provider Demographics
NPI:1225903438
Name:SMALL WONDER EYECARE PLLC
Entity type:Organization
Organization Name:SMALL WONDER EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONTRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-229-5911
Mailing Address - Street 1:459 WALTER HOFFMAN RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78612-3514
Mailing Address - Country:US
Mailing Address - Phone:512-229-5911
Mailing Address - Fax:512-677-6282
Practice Address - Street 1:1320 W HWY 290 FRONTAGE ROAD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621
Practice Address - Country:US
Practice Address - Phone:512-229-5911
Practice Address - Fax:512-677-6282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty