Lake Ridge Eye Care Pa in Grand Prairie - Optometrist
Lake Ridge Eye Care Pa - NPI 1558450452
Lake Ridge Eye Care Pa is a Optometrist in Grand Prairie, Texas. Lake Ridge Eye Care Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lake Ridge Eye Care Pa is 1558450452. The last update date is 2020-08-22.
Lake Ridge Eye Care Pa's current location address is 4927 Lake Ridge Pkwy, Grand Prairie, Texas. You can contact this provider via phone number 9726415900 and fax number 9726415903. The mailing address for Lake Ridge Eye Care Pa is 4927 Lake Ridge Pkwy, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Ridge Eye Care Pa |
|---|---|
| Address | 4927 Lake Ridge Pkwy, Grand Prairie, Texas |
| Phone Number | 9726415900 |
| Fax Number | 9726415903 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kha Carolyn |
| Credentials | O.D. |
| Telephone Number | 9726415900 |
NPI Number Detail
| NPI Number | 1558450452 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4927 Lake Ridge Pkwy |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750523073 |
| Phone Number | 9726415900 |
| Fax Number | 9726415903 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 6592TG |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identification code issued to Lake Ridge Eye Care Pa by the Centers for Medicare & Medicaid Services?
The Lake Ridge Eye Care Pa has been assigned the NPI (National Provider Identifier) 1558450452 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Lake Ridge Eye Care Pa's physical address?
The Lake Ridge Eye Care Pa is physically located at 4927 Lake Ridge Pkwy, in the city of Grand Prairie, TX, with the postal code 750523073.
What is the Lake Ridge Eye Care Pa's specialty and taxonomy code?
The Lake Ridge Eye Care Pa's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did Lake Ridge Eye Care Pa receive its 1558450452 assignment?
The Lake Ridge Eye Care Pa was assigned its 1558450452 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Lake Ridge Eye Care Pa most recently updated or revised?
The information pertaining to Lake Ridge Eye Care Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.