Provider Demographics
NPI:1881060457
Name:PARAGON LASER & EYE SURGERY CENTER
Entity type:Organization
Organization Name:PARAGON LASER & EYE SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-360-9570
Mailing Address - Street 1:902 W RANDOL MILL RD
Mailing Address - Street 2:STE. 230
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2572
Mailing Address - Country:US
Mailing Address - Phone:817-277-6433
Mailing Address - Fax:
Practice Address - Street 1:902 W RANDOL MILL RD
Practice Address - Street 2:STE. 230
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2572
Practice Address - Country:US
Practice Address - Phone:817-277-6433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery