National Provider Identifier Database

OPTICAL BOUTIQUE AND EYECARE
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

OPTICAL BOUTIQUE AND EYECARE
1233 E PLEASANT RUN RD STE A
DESOTO, TX75115-4200
Phone: 972-223-2020
Fax: 972-228-1860
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Optician 156FX1800X
Optometric Assistant Technician 156FX1201X
Optometric Technician 156FX1202X

* Indicates primary specialty

NPI Profile & details for OPTICAL BOUTIQUE AND EYECARE

NPI Number 1407472376
Legal business name
LBN
OPTICAL BOUTIQUE AND EYECARE
Authorized official DANIELLE GLOSTER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/17/2020
Last updated 11/09/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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