| Organization Name: | ALAN H UPCHURCH OD, PC |
| NPI Number: | 1043485451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENYA JOHNSON (BILLING) |
| Mailing Address: | 3705 W Eldorado Pkwy Mckinney |
| State: | TX US |
| Postal Code: | 750704229 |
| Phone Number: | 9725420331 |
| Fax Number: | 9725481102 |
| NPI Enumeration Date: | 04/25/2008 |
| NPI Last Update Date: | 03/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 3701-TG |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |