Organization Name: | 20/20 EXPRESS-DALLAS, LLC |
NPI Number: | 1114318250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN PITTMAN (DIRECTOR OF MANAGED CARE) |
Mailing Address: | 13800 Senlac Dr Suite 200 Farmers Branch |
State: | TX US |
Postal Code: | 752348838 |
Phone Number: | 9724882016 |
Fax Number: | 4692065169 |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |