Provider Demographics
NPI:1740200518
Name:EYE CARE PLUS LLP
Entity Type:Organization
Organization Name:EYE CARE PLUS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATHAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:806-358-3594
Mailing Address - Street 1:7200 SW 45TH AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5084
Mailing Address - Country:US
Mailing Address - Phone:806-358-3594
Mailing Address - Fax:806-457-1660
Practice Address - Street 1:5221 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-6676
Practice Address - Country:US
Practice Address - Phone:806-358-3594
Practice Address - Fax:806-457-1660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5758980001Medicare NSC
TX6221790001Medicare NSC
TX00X392Medicare PIN