ECSC II PA NPI 1851687644

NPI Information

ECSC II, PA is an ophthalmic technician technologist in Fort Worth, TX. The provider is an ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses. ECSC II, PA NPI is 1851687644. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 S HULEN ST
SUITE 100
FORT WORTH, TX
ZIP 76109-504
Phone: (214) 361-1443
Fax: (214) 368-8365

The provider's authorized official is Wesley K Herman .
The authorized official title is President, Owner and has the following contact phone number (214) 361-1443.

The CLIA number assigned to this NPI record is 45D2085608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2011 and was last updated on 6/21/2011.

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:

Other Identifiers

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