Provider Demographics
NPI:1528223609
Name:VISION WORKS EYECARE, P.A.
Entity Type:Organization
Organization Name:VISION WORKS EYECARE, P.A.
Other - Org Name:EYES OF STARWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-712-7890
Mailing Address - Street 1:6842 LEBANON ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7480
Mailing Address - Country:US
Mailing Address - Phone:972-712-7890
Mailing Address - Fax:972-712-3119
Practice Address - Street 1:6842 LEBANON ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7480
Practice Address - Country:US
Practice Address - Phone:972-712-7890
Practice Address - Fax:972-712-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5251TG152W00000X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty