Northlake Family Eyecare PLLC

Organization Active NPI Optometrist · Northlake, TX

NPI 1396221685 · NPPES record last updated Sep 26, 2018

Key facts

NPI
1396221685
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
NORTHLAKE FAMILY EYECARE PLLC
Practice address
1500 Commons Circle Ste. 200
Northlake, TX 76226
Phone
(817) 741-2020
NPI assigned
Jul 19, 2018
Organization subpart
No

Authorized official

Name
Dori Nurss
Title
Insurance Coordinator
Phone
(817) 741-2020

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X Yes

Addresses

Primary practice location

1500 Commons Circle Ste. 200
Northlake, TX 76226

Mailing address

9816 N Beach St
Fort Worth, TX 76244-6184
Phone (817) 741-2020

Other providers in Northlake, TX

All providers in Northlake, TX · Optometrist in Texas

Sources for this page

Verify at the official NPI Registry.