Provider Demographics
NPI:1942425855
Name:BALL FAMILY VISION CENTER
Entity Type:Organization
Organization Name:BALL FAMILY VISION CENTER
Other - Org Name:EAGLE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHIH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:940-464-2020
Mailing Address - Street 1:100 COUNTRY CLUB RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2358
Mailing Address - Country:US
Mailing Address - Phone:940-464-2020
Mailing Address - Fax:940-464-2021
Practice Address - Street 1:100 COUNTRY CLUB RD STE 120
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226
Practice Address - Country:US
Practice Address - Phone:940-464-2020
Practice Address - Fax:940-464-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6059T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00140SOtherMEDICARE PTIN
TX0078FAOtherBCBS
TX0078FAOtherBCBS
TX00140SOtherMEDICARE PTIN
TX00140SMedicare ID - Type Unspecified