Provider Demographics
NPI:1235331281
Name:EYE CARE OPTICAL
Entity Type:Organization
Organization Name:EYE CARE OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-379-7230
Mailing Address - Street 1:1255 ASHBY ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5118
Mailing Address - Country:US
Mailing Address - Phone:830-379-7230
Mailing Address - Fax:830-379-7231
Practice Address - Street 1:1255 ASHBY ST
Practice Address - Street 2:SUITE E
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5118
Practice Address - Country:US
Practice Address - Phone:830-379-7230
Practice Address - Fax:830-379-7231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier