Provider Demographics
NPI:1366646002
Name:T & B EYE CARE SERVICES LP
Entity Type:Organization
Organization Name:T & B EYE CARE SERVICES LP
Other - Org Name:1ST EYE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-780-7199
Mailing Address - Street 1:3900 W WHEATLAND RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3468
Mailing Address - Country:US
Mailing Address - Phone:972-780-7199
Mailing Address - Fax:972-780-9157
Practice Address - Street 1:3900 W WHEATLAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3468
Practice Address - Country:US
Practice Address - Phone:972-780-7199
Practice Address - Fax:972-780-9157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1366646002OtherDMERC NPI#
TX1548489388OtherNPI#
TX1144285891OtherDR BURTON - NPI#
TX1316901291OtherDR, THOMAS -NPI#
TX1316901291OtherDR, THOMAS -NPI#