Provider Demographics
NPI:1497093439
Name:WINK EYE CARE, PLLC
Entity Type:Organization
Organization Name:WINK EYE CARE, PLLC
Other - Org Name:WINK EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-365-7029
Mailing Address - Street 1:4308 KESTREL WAY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4683
Mailing Address - Country:US
Mailing Address - Phone:972-365-7029
Mailing Address - Fax:888-818-1450
Practice Address - Street 1:2721 LITTLE ELM PKWY
Practice Address - Street 2:SUITE #210
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-6685
Practice Address - Country:US
Practice Address - Phone:972-365-7029
Practice Address - Fax:888-818-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7387TG261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center