Provider Demographics
NPI:1275731879
Name:EYE PRO, PLLC
Entity Type:Organization
Organization Name:EYE PRO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-358-8200
Mailing Address - Street 1:PO BOX 93042
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78709-3042
Mailing Address - Country:US
Mailing Address - Phone:512-358-8200
Mailing Address - Fax:512-670-1800
Practice Address - Street 1:5601 BRODIE LN
Practice Address - Street 2:SUITE 530
Practice Address - City:SUNSET VALLEY
Practice Address - State:TX
Practice Address - Zip Code:78745-2538
Practice Address - Country:US
Practice Address - Phone:512-358-8200
Practice Address - Fax:512-670-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0066FHOtherBCBSTX