Provider Demographics
NPI:1982132270
Name:LOVE 4 EYES PLLC
Entity Type:Organization
Organization Name:LOVE 4 EYES PLLC
Other - Org Name:OPTICAL ILLUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OD
Authorized Official - Prefix:
Authorized Official - First Name:KRISELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:956-631-3366
Mailing Address - Street 1:423 W. NOLANA AVE.
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-631-3366
Mailing Address - Fax:866-668-0313
Practice Address - Street 1:423 W NOLANA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-631-3366
Practice Address - Fax:866-668-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty