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NORTH TEXAS OPHTHALMIC PLASTIC SURGERY PLLC NPI 1629139324


NPI Information

NPI: 1629139324
Provider Name: NORTH TEXAS OPHTHALMIC PLASTIC SURGERY, PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 45D2213432

Address:
800 8TH AVE
STE 330
FORT WORTH, TX
ZIP 76104
Phone: (817) 566-1500
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NORTH TEXAS OPHTHALMIC PLASTIC SURGERY, PLLC 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. NORTH TEXAS OPHTHALMIC PLASTIC SURGERY, PLLC NPI is 1629139324. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 8TH AVE
STE 330
FORT WORTH, TX
ZIP 76104-601
Phone: (817) 566-1500
Fax: (682) 432-0763

The provider's authorized official is Lacy Flores .
The authorized official title is Administrator and has the following contact phone number (817) 566-1500.

The CLIA number assigned to this NPI record is 45D2213432 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 10/5/2015.


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
10A5538MEDICARE PINTEXAS
20A5539MEDICARE PINTEXAS
30A5540MEDICARE 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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