Provider Demographics
NPI:1235430299
Name:OAK CLIFF EYE CLINIC PLLC
Entity Type:Organization
Organization Name:OAK CLIFF EYE CLINIC PLLC
Other - Org Name:DALLAS EYE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:FASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-330-3937
Mailing Address - Street 1:2301 S HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-1650
Mailing Address - Country:US
Mailing Address - Phone:214-361-1443
Mailing Address - Fax:214-363-7394
Practice Address - Street 1:2301 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1650
Practice Address - Country:US
Practice Address - Phone:214-330-3937
Practice Address - Fax:214-330-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Multi-Specialty