Provider Demographics
NPI:1982250262
Name:EYE CENTERS OF NORTH TEXAS, PLLC
Entity type:Organization
Organization Name:EYE CENTERS OF NORTH TEXAS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAI
Authorized Official - Middle Name:HEMANTH
Authorized Official - Last Name:CHAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-233-6170
Mailing Address - Street 1:PO BOX 28971
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-2041
Mailing Address - Country:US
Mailing Address - Phone:214-233-6170
Mailing Address - Fax:214-241-4947
Practice Address - Street 1:11615 FOREST CENTRAL DR STE 308
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3921
Practice Address - Country:US
Practice Address - Phone:214-233-6170
Practice Address - Fax:214-241-4947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty