Provider Demographics
NPI:1205174091
Name:CONSTANT EYE CARE
Entity type:Organization
Organization Name:CONSTANT EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:469-688-0897
Mailing Address - Street 1:3420 K AVE
Mailing Address - Street 2:153
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-2333
Mailing Address - Country:US
Mailing Address - Phone:469-688-0897
Mailing Address - Fax:
Practice Address - Street 1:3420 K AVE
Practice Address - Street 2:153
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-2333
Practice Address - Country:US
Practice Address - Phone:469-688-0897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX315220701Medicaid
TX3152217OtherMEDICARE TX PROVIDER TPI BASE
TX315220701Medicaid