Provider Demographics
NPI:1184684722
Name:PARAMOUNT EYE CARE PLLC
Entity Type:Organization
Organization Name:PARAMOUNT EYE CARE PLLC
Other - Org Name:ADVANCED EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-355-9536
Mailing Address - Street 1:2700 PARAMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3009
Mailing Address - Country:US
Mailing Address - Phone:806-355-9536
Mailing Address - Fax:806-353-5572
Practice Address - Street 1:2700 PARAMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3009
Practice Address - Country:US
Practice Address - Phone:806-355-9536
Practice Address - Fax:806-353-5572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4504500001Medicare NSC
TX80127EMedicare PIN
TX8B8258Medicare PIN
TX81071EMedicare PIN
TX80129EMedicare PIN
TX8G3155Medicare PIN
TX80997EMedicare PIN
TX8K5915Medicare PIN
TXCJ3231Medicare PIN
TX00152SMedicare PIN
TX80130EMedicare UPIN
TX80999EMedicare PIN
TX83360EMedicare PIN
TX8J3189Medicare PIN
TX00E22GMedicare PIN
TX8G5807Medicare PIN