Provider Demographics
NPI:1275408213
Name:EYECONIC EYE CARE OF TEXAS
Entity type:Organization
Organization Name:EYECONIC EYE CARE OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:CHINELO
Authorized Official - Last Name:ONYEADOR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-504-9025
Mailing Address - Street 1:4844 NEW FOREST DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-4572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:951 W BELT LINE RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3732
Practice Address - Country:US
Practice Address - Phone:469-643-4694
Practice Address - Fax:469-519-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty