Provider Demographics
NPI:1134473572
Name:HEALTHCARE EYE CLINIC INC
Entity Type:Organization
Organization Name:HEALTHCARE EYE CLINIC INC
Other - Org Name:GREYNER OPTICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:GREYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-454-6800
Mailing Address - Street 1:5334 ROSS AVE STE A
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-7498
Mailing Address - Country:US
Mailing Address - Phone:214-454-6800
Mailing Address - Fax:
Practice Address - Street 1:5334 ROSS AVE STE A
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7498
Practice Address - Country:US
Practice Address - Phone:214-454-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier