Provider Demographics
NPI:1669160644
Name:MODERN VUE EYECARE PLLC
Entity type:Organization
Organization Name:MODERN VUE EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPEUTIC OPTOMETRIST/PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-754-5859
Mailing Address - Street 1:565 COIT RD
Mailing Address - Street 2:SUITE 650
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075
Mailing Address - Country:US
Mailing Address - Phone:214-305-9395
Mailing Address - Fax:214-305-8331
Practice Address - Street 1:565 COIT RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7509
Practice Address - Country:US
Practice Address - Phone:972-754-5859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty