Organization Name: | TROPHY CLUB VISION CARE LLP |
NPI Number: | 1851636989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY M NOEL (OWNER/DR.) |
Mailing Address: | 2001 E Highway 114 Ste 180 Trophy Club |
State: | TX US |
Postal Code: | 762626656 |
Phone Number: | 6828310999 |
Fax Number: | 6828310998 |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 005588TG |
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 |