Provider Demographics
NPI:1326434549
Name:NOW SEE HERE LLC
Entity Type:Organization
Organization Name:NOW SEE HERE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ORVILLE
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:DISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-521-0929
Mailing Address - Street 1:4560 W MOCKINGBIRD LN
Mailing Address - Street 2:STE #124
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-5204
Mailing Address - Country:US
Mailing Address - Phone:214-521-0929
Mailing Address - Fax:214-751-3360
Practice Address - Street 1:4560 W MOCKINGBIRD LN
Practice Address - Street 2:STE #124
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-5204
Practice Address - Country:US
Practice Address - Phone:214-521-0929
Practice Address - Fax:214-751-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01940TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093189102Medicaid