Provider Demographics
NPI:1013631415
Name:COLTON MOBILE HEALTHCARE
Entity Type:Organization
Organization Name:COLTON MOBILE HEALTHCARE
Other - Org Name:BRIGHT EYES MOBILE VISION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:469-478-1364
Mailing Address - Street 1:601 W FM 544 STE 109M
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4200
Mailing Address - Country:US
Mailing Address - Phone:972-303-2020
Mailing Address - Fax:972-476-1195
Practice Address - Street 1:601 W FM 544 STE 109M
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4200
Practice Address - Country:US
Practice Address - Phone:972-303-2020
Practice Address - Fax:972-476-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty