Provider Demographics
NPI:1164445201
Name:SWEENEY EYE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:SWEENEY EYE ASSOCIATES, PLLC
Other - Org Name:SWEENEY EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:T
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-285-8966
Mailing Address - Street 1:2858 N BELT LINE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9382
Mailing Address - Country:US
Mailing Address - Phone:972-285-8966
Mailing Address - Fax:972-285-0022
Practice Address - Street 1:2858 N BELT LINE RD STE 200
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9382
Practice Address - Country:US
Practice Address - Phone:972-285-8966
Practice Address - Fax:972-285-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9605174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00387VMedicare ID - Type UnspecifiedGROUP NUMBER