Provider Demographics
NPI:1770952293
Name:KANSAL EYE, PLLC
Entity type:Organization
Organization Name:KANSAL EYE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RISHAV
Authorized Official - Middle Name:
Authorized Official - Last Name:KANSAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-690-1922
Mailing Address - Street 1:770 N COIT RD
Mailing Address - Street 2:SUITE 2486
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5426
Mailing Address - Country:US
Mailing Address - Phone:972-690-1922
Mailing Address - Fax:972-235-1068
Practice Address - Street 1:770 N COIT RD
Practice Address - Street 2:SUITE 2486
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5426
Practice Address - Country:US
Practice Address - Phone:972-690-1922
Practice Address - Fax:972-235-1068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5674207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty