South Eyeworks Group, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTH EYEWORKS GROUP, INC

Doing business as

Eyeworks

Practice address

4631 S Hulen St
Fort Worth, TX 76132-1401

Phone

(817) 346-7077

Fax

(817) 346-6998

NPI assigned

Dec 8, 2010

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Chu, O.D.NPI 1255313599

Title

Owner

Phone

(817) 346-7077

Specialties & licenses 1

Addresses

Other names 1

• Eyeworks Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Chu, O.D.

  • Optometrist
  • Fort Worth, TX
  • NPI 1255313599
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1063715308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321401",
            "telephone_number": "817-346-7077",
            "fax_number": "817-346-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321401",
            "telephone_number": "817-346-7077",
            "fax_number": "817-346-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EYEWORKS GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-346-7077",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.