Specialeyes Optical, Llc
LBN: Specialeyes Optical, Llc
Specialeyes Optical, Llc is an health care organization with primary practice located at 1106 Alexis Ct , Mansfield TX 76063-3338. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Specialeyes Optical, Llc can be contacted via phone (817) 529-9929, or through Packwood, Eric Alan via phone (817) 529-9949.
Contact Information
Primary practice address
1106 Alexis Ct
Mansfield TX 76063-3338
Phone: (817) 529-9929
Fax: (817) 529-9927
Website:
Authorized official contact:
Name: Packwood, Eric Alan Doctor of Medicine (MD)
Phone: (817) 529-9949
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7210TG | Texas |
Profile Details
| NPI number | 1124573092 |
|---|---|
| LBN Legal business name | Specialeyes Optical, Llc |
| DBA Doing business as | |
| Authorized official | Packwood, Eric Alan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2016 |
| Last updated | Aug 22nd, 2016 - about 10 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 | 1124573092 | NPPES |
| Texas | MEDICAID | 166926901 | |
| Texas | MEDICAID | 145291402 | |
| Texas | MEDICAID | 018440004 | |
| Texas | MEDICAID | 207716601 | |
| Texas | MEDICAID | 323588905 | |
| Texas | MEDICAID | 287401803 | |
| Texas | MEDICAID | 294486001 |
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