Eyes On Southlake Pllc

NPI #1831083658 in Southlake, Texas

Provider Information

NPI Number: 1831083658
Entity Type: Organization
Organization Name: Eyes On Southlake Pllc
Primary Specialty: Optometrist
Enumeration Date: Jun 5, 2025
Last Updated: Jun 5, 2025

Practice Location

Address: 2813 W SOUTHLAKE BLVD STE 120
City: Southlake
State: Texas
ZIP Code: 76092-6832
Phone: (817) 305-7171

Authorized Official

Name: JOHN L BASS, OD
Title: OD/OWNER
Phone: (817) 305-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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