Fort Worth Eye Center Pllc
LBN: Fort Worth Eye Center Pllc
Fort Worth Eye Center Pllc is an health care organization with primary practice located at 5329 Sycamore School Rd Suite 113, Fort Worth TX 76123. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Fort Worth Eye Center Pllc can be contacted via phone (832) 518-6494, or through Lam, Dan via phone (832) 518-6494.
Contact Information
Primary practice address
5329 Sycamore School Rd Suite 113
Fort Worth TX 76123
Phone: (832) 518-6494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1730784802 |
|---|---|
| LBN Legal business name | Fort Worth Eye Center Pllc |
| DBA Doing business as | |
| Authorized official | Lam, Dan Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2020 |
| Last updated | Dec 4th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730784802 | NPPES |
| Other | A35198 | EYEMED | |
| MEDICAID | 390684401 | EYEMED |
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