PROVIDENT EYE SPECIALISTS PA NPI 1558799833

NPI Information

  • NPI: 1558799833
  • Provider Name: PROVIDENT EYE SPECIALISTS, PA
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 11212 MONTWOOD DR
    EL PASO, TX
    ZIP 79936
  • Phone: (915) 595-4300

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NPI Details

PROVIDENT EYE SPECIALISTS, PA is an ophthalmology in El Paso, 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. PROVIDENT EYE SPECIALISTS, PA NPI is 1558799833. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11212 MONTWOOD DR
EL PASO, TX
ZIP 79936-241
Phone: (915) 595-4300
Fax: (915) 595-4301

The provider's authorized official is Keak Chy Khauv .
The authorized official title is Owner and has the following contact phone number (915) 240-9198.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 5/1/2024.

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
1207W00000XOphthalmologyTEXASYes

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: 11/21/2025

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