Provider Demographics
NPI:1639365711
Name:EYE MATTERS LLC
Entity Type:Organization
Organization Name:EYE MATTERS LLC
Other - Org Name:EYE MATTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PISHEH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-723-2727
Mailing Address - Street 1:700 SILKEN XING
Mailing Address - Street 2:SUITE 2002
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-5595
Mailing Address - Country:US
Mailing Address - Phone:972-723-2727
Mailing Address - Fax:
Practice Address - Street 1:700 SILKEN XING
Practice Address - Street 2:SUITE 2002
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-5595
Practice Address - Country:US
Practice Address - Phone:972-723-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty