Provider Demographics
NPI:1518382829
Name:DIMMIT COUNTY EYE INSTITUTE
Entity Type:Organization
Organization Name:DIMMIT COUNTY EYE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:V
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:830-876-0282
Mailing Address - Street 1:1203 PENA ST
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-3765
Mailing Address - Country:US
Mailing Address - Phone:830-876-0282
Mailing Address - Fax:830-876-4191
Practice Address - Street 1:1203 PENA ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-3765
Practice Address - Country:US
Practice Address - Phone:830-876-0282
Practice Address - Fax:830-876-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00825EMedicare UPIN