Provider Demographics
NPI:1043416258
Name:BERRY MILNER AND UHR LLP
Entity Type:Organization
Organization Name:BERRY MILNER AND UHR LLP
Other - Org Name:PRECISION OPTICAL
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-826-8201
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:STE 609 LB120
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1806
Mailing Address - Country:US
Mailing Address - Phone:214-826-8201
Mailing Address - Fax:214-827-8515
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:STE 609 LB120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-826-8201
Practice Address - Fax:214-827-8515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
TX4429520001332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4429520001Medicare NSC