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CORNEA ASSOCIATES OF TEXAS PA NPI 1386740876


NPI Information

NPI: 1386740876
Provider Name: CORNEA ASSOCIATES OF TEXAS PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 45D2112028

Address:
1101 6TH AVE
SUITE 100
FORT WORTH, TX
ZIP 76104
Phone: (817) 850-9282
Get Directions

CORNEA ASSOCIATES OF TEXAS PA is an ophthalmology in Fort Worth, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CORNEA ASSOCIATES OF TEXAS PA NPI is 1386740876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1101 6TH AVE
SUITE 100
FORT WORTH, TX
ZIP 76104-306
Phone: (817) 850-9282
Fax: (817) 850-9218

The provider's authorized official is Tyrone Mccall .
The authorized official title is Partner and has the following contact phone number (214) 692-0146.

The CLIA number assigned to this NPI record is 45D2112028 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 4/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11845851 02MEDICAIDTEXAS
20071PCOTHERTEXASBCBS
3DF4472MEDICARE PINTEXAS
4562486MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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