Organization Name: | 20-20 EXPRESS--DALLAS LLC |
NPI Number: | 1285035089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN PITTMAN (DIRECTOR OF MANAGED CARE) |
Mailing Address: | 3450 Bainbridge Drive, Ste 598 Dallas |
State: | TX US |
Postal Code: | 75237 |
Phone Number: | 9727802717 |
Fax Number: | 9722773176 |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 06/04/2015 |
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. |