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EYE CENTERS OF NORTH TEXAS PLLC NPI 1982250262


NPI Information

NPI: 1982250262
Provider Name: EYE CENTERS OF NORTH TEXAS, PLLC

Doing Business As: RETINA OF NORTH TEXAS

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

CLIA Number: 45D2269637

Address:
11615 FOREST CENTRAL DR STE 308
DALLAS, TX
ZIP 75243
Phone: (214) 233-6170
Get Directions

EYE CENTERS OF NORTH TEXAS, PLLC is a retina specialist ophthalmology in Dallas, TX. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. EYE CENTERS OF NORTH TEXAS, PLLC NPI is 1982250262. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Retina Of North Texas.

The provider's business location address is:

11615 FOREST CENTRAL DR STE 308
DALLAS, TX
ZIP 75243-921
Phone: (214) 233-6170
Fax: (214) 241-4947

The provider's authorized official is Sai Hemanth Chavala .
The authorized official title is Physician And Owner and has the following contact phone number (214) 233-6170.

The CLIA number assigned to this NPI record is 45D2269637 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2019 and was last updated on 4/8/2024.


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
1207WX0107XOphthalmologyRetina SpecialistYes

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

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