Provider Demographics
NPI:1952548661
Name:MCCALL FAMILY EYE CARE, LLC
Entity Type:Organization
Organization Name:MCCALL FAMILY EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:903-796-2015
Mailing Address - Street 1:908 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:TX
Mailing Address - Zip Code:75551-3430
Mailing Address - Country:US
Mailing Address - Phone:903-796-2015
Mailing Address - Fax:903-796-1393
Practice Address - Street 1:908 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:TX
Practice Address - Zip Code:75551-3430
Practice Address - Country:US
Practice Address - Phone:903-796-2015
Practice Address - Fax:903-796-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6981TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty