WHITNEY FAMILY EYECARE P.C. NPI 1508063504

NPI Information

NPI: 1508063504
Provider Name: WHITNEY FAMILY EYECARE P.C.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 45D2079649

Address:
1221 N. BRAZOS STREET
SUITE B
WHITNEY, TX
ZIP 76692
Phone: (254) 694-3435
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WHITNEY FAMILY EYECARE P.C. is an eyewear supplier in Whitney, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WHITNEY FAMILY EYECARE P.C. NPI is 1508063504. The provider is registered as an organization entity type.

The provider's business location address is:

1221 N. BRAZOS STREET
SUITE B
WHITNEY, TX
ZIP 76692
Phone: (254) 694-3435
Fax: (254) 694-9968

The provider's authorized official is Lon Whitfield Eubank .
The authorized official title is Owner and has the following contact phone number (254) 694-3435.

The CLIA number assigned to this NPI record is 45D2079649 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/2/2007 and was last updated on 5/21/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		5119TG	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1427134493	OTHER	TEXAS	DR. NPI NUMBER
2	00E89T	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	019553901	MEDICAID	TEXAS
4	U56986	MEDICARE UPIN	TEXAS
5	6009120001	MEDICARE NSC	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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