Advanced Eyecare

LBN: Grand Prairie Advanced Eyecare Inc
Advanced Eyecare is an health care organization with primary practice located at 5224 Tx South 360 Suite 200, Grand Prairie TX 75052. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Grand Prairie Advanced Eyecare Inc can be contacted via phone (972) 602-4545, or through Price, Daniel via phone (817) 905-0444.

Contact Information

Primary practice address
5224 Tx South 360 Suite 200 Grand Prairie TX 75052
Phone: (972) 602-4545
Fax: (972) 602-4546
Website:
Map and Directions
Authorized official contact:
Name: Price, Daniel Doctor of Optometry (OD)
Phone: (817) 905-0444

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1538405790
LBN Legal business name Grand Prairie Advanced Eyecare Inc
DBA Doing business as Advanced Eyecare
Authorized official Price, Daniel Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2012
Last updated Aug 8th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538405790 NPPES
Texas MEDICAID 316869201

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