Provider Demographics
NPI:1124411715
Name:SWITALSKI EYE CARE PLLC
Entity Type:Organization
Organization Name:SWITALSKI EYE CARE PLLC
Other - Org Name:NA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BOGUSLAW
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SWITALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-993-6543
Mailing Address - Street 1:2401 S STEMMONS FWY
Mailing Address - Street 2:SUITE 2210 B
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8775
Mailing Address - Country:US
Mailing Address - Phone:972-459-4908
Mailing Address - Fax:
Practice Address - Street 1:2401 S STEMMONS FWY
Practice Address - Street 2:SUITE 2210 B
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8775
Practice Address - Country:US
Practice Address - Phone:972-459-4908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7644TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty