Provider Demographics
NPI:1851449607
Name:EYE EXPRESSIONS
Entity Type:Organization
Organization Name:EYE EXPRESSIONS
Other - Org Name:FRISCO FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:469-633-9339
Mailing Address - Street 1:5858 MAIN ST
Mailing Address - Street 2:110
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4193
Mailing Address - Country:US
Mailing Address - Phone:469-633-9339
Mailing Address - Fax:469-633-1880
Practice Address - Street 1:5858 MAIN ST
Practice Address - Street 2:110
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4193
Practice Address - Country:US
Practice Address - Phone:469-633-9339
Practice Address - Fax:469-633-1880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6233TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80907QOtherBCBS INDIVIDUAL PIN NUMBE
TX005FEOtherBCBS GROUP ID
TXU98994Medicare UPIN
TX00335WMedicare ID - Type UnspecifiedGROUP MEDICARE
TX005FEOtherBCBS GROUP ID