Provider Demographics
NPI:1568883742
Name:EYEFINITY EYE CARE
Entity Type:Organization
Organization Name:EYEFINITY EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:THU
Authorized Official - Middle Name:
Authorized Official - Last Name:KHA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-514-0100
Mailing Address - Street 1:132 KILBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2016
Mailing Address - Country:US
Mailing Address - Phone:504-717-4902
Mailing Address - Fax:
Practice Address - Street 1:9101 N TARRANT PKWY
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-8655
Practice Address - Country:US
Practice Address - Phone:817-514-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-14
Last Update Date:2013-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7259 TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty