Provider Demographics
NPI:1023550332
Name:MONINGER EYE CARE
Entity Type:Organization
Organization Name:MONINGER EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-241-2564
Mailing Address - Street 1:13604 MIDWAY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4305
Mailing Address - Country:US
Mailing Address - Phone:972-241-2564
Mailing Address - Fax:972-241-1939
Practice Address - Street 1:13604 MIDWAY RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4305
Practice Address - Country:US
Practice Address - Phone:972-241-2564
Practice Address - Fax:972-241-1939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2215207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty