45D2212459 CLIA NUMBER - MOMPREMIER EYE INSTITUTE, PLLC

Laboratory Demographics

CLIA Number: 45D2212459

Facility Name: MOMPREMIER EYE INSTITUTE, PLLC

Facility Address:
1510 N HAMPTON RD SUITE 290
DESOTO, TX
ZIP 75115
Get Directions

Facility Phone Number: 469 687-5664

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518415330

Taxonomy: 207W00000X - Ophthalmology
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.

CLIA Record

Field Name	Field Value
CLIA Number	45D2212459
LAB Type	Physician Office
Facility Name	MOMPREMIER EYE INSTITUTE, PLLC
Street	1510 N HAMPTON RD SUITE 290
City	DESOTO
State	TX
ZIP	75115
Phone	469 687-5664
CertificateType	4
CertificateEffectiveDate	2/4/2023
CertificateExpirationDate	2/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024