Provider Demographics
NPI:1164634002
Name:DRS DAY & DAY PC
Entity Type:Organization
Organization Name:DRS DAY & DAY PC
Other - Org Name:BROADWAY EYE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:972-278-2121
Mailing Address - Street 1:3034 BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-3732
Mailing Address - Country:US
Mailing Address - Phone:972-278-2121
Mailing Address - Fax:972-926-1573
Practice Address - Street 1:3034 BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-3732
Practice Address - Country:US
Practice Address - Phone:972-278-2121
Practice Address - Fax:972-926-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2306TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E15GOtherBLUE CROSS BLUE SHIELD
TX=========OtherVISION SERVICE PLAN
TX=========OtherVISION SERVICE PLAN
TXT12949Medicare UPIN