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PATMICK LLC NPI 1669656799


NPI Information

NPI: 1669656799
Provider Name: PATMICK LLC

Former Legal Business Name: PATRICK OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2255 8TH AVE
FORT WORTH, TX
ZIP 76110
Phone: (817) 370-6118
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PATMICK LLC is an eyewear supplier in Fort Worth, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PATMICK LLC NPI is 1669656799. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Patrick Optical.

The provider's business location address is:

2255 8TH AVE
FORT WORTH, TX
ZIP 76110-812
Phone: (817) 370-6118
Fax: (817) 370-7118

The provider's authorized official is Michael Jack Bradley .
The authorized official title is Principal and has the following contact phone number (817) 370-6118.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 7/27/2017.


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
1332H00000XEyewear SupplierDRO166TEXASYes

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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