Provider Demographics
NPI:1952597957
Name:SACHSE FAMILY EYE CLINIC, PLLC
Entity Type:Organization
Organization Name:SACHSE FAMILY EYE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:NGA
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-675-9626
Mailing Address - Street 1:5001 BEN DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-4211
Mailing Address - Country:US
Mailing Address - Phone:972-675-9626
Mailing Address - Fax:972-675-3251
Practice Address - Street 1:5001 BEN DAVIS RD
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-4211
Practice Address - Country:US
Practice Address - Phone:972-675-9626
Practice Address - Fax:972-675-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5989T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00209TMedicare PIN