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PEDIATRIC EYE SPECIALISTS LLP NPI 1760507149


NPI Information

NPI: 1760507149
Provider Name: PEDIATRIC EYE SPECIALISTS LLP
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
321 S HENDERSON ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 529-9949
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PEDIATRIC EYE SPECIALISTS LLP 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. PEDIATRIC EYE SPECIALISTS LLP NPI is 1760507149. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

321 S HENDERSON ST
FORT WORTH, TX
ZIP 76104-016
Phone: (817) 529-9949
Fax: (817) 529-9943

The provider's authorized official is Loretta Taylor .
The authorized official title is Credentialing Coordinator and has the following contact phone number (817) 529-9949.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 6/11/2019.


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
1207W00000XOphthalmologyL2508 L8376 L047TEXASYes

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
1323588905MEDICAIDTEXAS
2166926901MEDICAIDTEXAS
3152778001MEDICAIDTEXAS
4018440004MEDICAIDTEXAS
5145291402MEDICAIDTEXAS

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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