Provider Demographics
NPI:1659547651
Name:CORINTH EYECARE PLLC
Entity Type:Organization
Organization Name:CORINTH EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRIMARY PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMERY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-633-2020
Mailing Address - Street 1:3960 FM 2181
Mailing Address - Street 2:STE:100
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-4248
Mailing Address - Country:US
Mailing Address - Phone:940-497-4971
Mailing Address - Fax:940-497-4981
Practice Address - Street 1:3960 FM 2181
Practice Address - Street 2:STE:100
Practice Address - City:HICKORY CREEK
Practice Address - State:TX
Practice Address - Zip Code:75065-4248
Practice Address - Country:US
Practice Address - Phone:940-497-4971
Practice Address - Fax:940-497-4981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX2519TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00366WMedicare PIN