Provider Demographics
NPI:1144415308
Name:HUGHES EYE CARE PLLC
Entity Type:Organization
Organization Name:HUGHES EYE CARE PLLC
Other - Org Name:FIRST EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-656-2020
Mailing Address - Street 1:751 MID CITIES BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2748
Mailing Address - Country:US
Mailing Address - Phone:817-656-2020
Mailing Address - Fax:817-656-5908
Practice Address - Street 1:751 MID CITIES BLVD STE A
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2748
Practice Address - Country:US
Practice Address - Phone:817-656-2020
Practice Address - Fax:817-656-5908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2130TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCH6910Medicare PIN
TX00073SMedicare PIN
TX4602180001Medicare NSC