Provider Demographics
NPI:1629355474
Name:EPIC EYECARE, LLC
Entity Type:Organization
Organization Name:EPIC EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRISTS
Authorized Official - Prefix:
Authorized Official - First Name:PUI
Authorized Official - Middle Name:V
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-268-7938
Mailing Address - Street 1:1138 BELT LINE RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-1993
Mailing Address - Country:US
Mailing Address - Phone:972-268-7938
Mailing Address - Fax:972-829-6698
Practice Address - Street 1:1138 BELT LINE RD
Practice Address - Street 2:SUITE 230
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-1993
Practice Address - Country:US
Practice Address - Phone:972-268-7938
Practice Address - Fax:972-829-6698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7646TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty