Provider Demographics
NPI:1508516618
Name:ENHANCED EYE CARE TEXAS
Entity Type:Organization
Organization Name:ENHANCED EYE CARE TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIEP
Authorized Official - Middle Name:
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-729-7787
Mailing Address - Street 1:1603 HACKNEY DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4262
Mailing Address - Country:US
Mailing Address - Phone:214-729-7787
Mailing Address - Fax:
Practice Address - Street 1:5325 MCPHERSON BLVD STE 125
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-6028
Practice Address - Country:US
Practice Address - Phone:817-935-8280
Practice Address - Fax:817-935-8281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty