Specialeyes Optical, LLC

NPI #1124573092 in Mansfield, Texas

Provider Information

NPI Number: 1124573092
Entity Type: Organization
Organization Name: Specialeyes Optical, LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 22, 2016
Last Updated: Aug 22, 2016

Practice Location

Address: 1106 ALEXIS CT
City: Mansfield
State: Texas
ZIP Code: 76063-3338
Phone: (817) 529-9929

Authorized Official

Name: DR. ERIC ALAN PACKWOOD, MD
Title: MEMBER
Phone: (817) 529-9949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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