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Contact Information

FORT WORTH EYE CENTER PLLC
5329 SYCAMORE SCHOOL RD
SUITE 113
FORT WORTH, TX76123
 Phone: 832-518-6494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Clinic/Center

261Q00000X
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
Indicates primary specialty

NPI Profile & details for FORT WORTH EYE CENTER PLLC

NPI Number 1730784802
LBN Legal business name FORT WORTH EYE CENTER PLLC
Authorized official DAN LAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2020
Last updated 12/04/2020 - About 6 years ago
Identifiers
TX Medicaid 390684401
Other A35198 EYEMED
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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