Provider Demographics
NPI:1568227973
Name:PLANO EYE CARE SURGERY CENTER PLLC
Entity Type:Organization
Organization Name:PLANO EYE CARE SURGERY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:REBENITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-380-2020
Mailing Address - Street 1:5280 TOWNE SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0037
Mailing Address - Country:US
Mailing Address - Phone:214-380-2020
Mailing Address - Fax:
Practice Address - Street 1:5280 TOWNE SQUARE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0037
Practice Address - Country:US
Practice Address - Phone:214-380-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery