Provider Demographics
NPI:1326265489
Name:LINDA FAIN HATTON OD, PA
Entity Type:Organization
Organization Name:LINDA FAIN HATTON OD, PA
Other - Org Name:OPTIX EYECARE & GALLERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:FAIN
Authorized Official - Last Name:HATTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-341-9955
Mailing Address - Street 1:5330 E MOCKINGBIRD LN
Mailing Address - Street 2:SUITE # 130
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-0940
Mailing Address - Country:US
Mailing Address - Phone:214-341-9955
Mailing Address - Fax:214-348-4545
Practice Address - Street 1:5330 E MOCKINGBIRD LN
Practice Address - Street 2:SUITE # 130
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-0940
Practice Address - Country:US
Practice Address - Phone:214-341-9955
Practice Address - Fax:214-348-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4077TG152W00000X
TX6622TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0097FAOtherBCBS
TX0097FAOtherBCBS