Provider Demographics
NPI:1235844945
Name:EYE & CONTACT LENS ASSOCIATES OF NORTH TEXAS PLLC
Entity Type:Organization
Organization Name:EYE & CONTACT LENS ASSOCIATES OF NORTH TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OD
Authorized Official - Prefix:
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-248-0202
Mailing Address - Street 1:18111 PRESTON RD STE 180
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6009
Mailing Address - Country:US
Mailing Address - Phone:972-248-0202
Mailing Address - Fax:972-248-1711
Practice Address - Street 1:18111 PRESTON RD STE 180
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6009
Practice Address - Country:US
Practice Address - Phone:972-248-0202
Practice Address - Fax:972-248-1711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty