Provider Demographics
NPI:1669862611
Name:MURPHY EYE ASSOCIATES, PA
Entity Type:Organization
Organization Name:MURPHY EYE ASSOCIATES, PA
Other - Org Name:MURPHY EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-424-2211
Mailing Address - Street 1:231 E FM 544
Mailing Address - Street 2:SUITE 707
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4047
Mailing Address - Country:US
Mailing Address - Phone:972-424-2211
Mailing Address - Fax:972-424-3311
Practice Address - Street 1:231 E FM 544
Practice Address - Street 2:SUITE 707
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4047
Practice Address - Country:US
Practice Address - Phone:972-424-2211
Practice Address - Fax:972-424-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06922TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV11986Medicare UPIN
TXTXB156366Medicare PIN