Provider Demographics
NPI:1093136764
Name:FEATHER EYECARE, LLC
Entity Type:Organization
Organization Name:FEATHER EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-868-7270
Mailing Address - Street 1:4101 HIGHWAY 121
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-3033
Mailing Address - Country:US
Mailing Address - Phone:817-868-7270
Mailing Address - Fax:817-868-6905
Practice Address - Street 1:4101 HIGHWAY 121
Practice Address - Street 2:SUITE 100
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-3033
Practice Address - Country:US
Practice Address - Phone:817-868-7270
Practice Address - Fax:817-868-6905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty