Provider Demographics
NPI:1679917231
Name:V EYE P PLANO P.A
Entity Type:Organization
Organization Name:V EYE P PLANO P.A
Other - Org Name:V EYE P EYECARE & EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:POONAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BHANA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-546-5555
Mailing Address - Street 1:5809 PRESTON RD
Mailing Address - Street 2:SUITE 590
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7360
Mailing Address - Country:US
Mailing Address - Phone:972-526-5555
Mailing Address - Fax:972-526-5556
Practice Address - Street 1:5809 PRESTON RD
Practice Address - Street 2:SUITE 590
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7360
Practice Address - Country:US
Practice Address - Phone:972-526-5555
Practice Address - Fax:972-526-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7230TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty