20 20 Icare Mansfield PLLC
Organization Active NPI Optometrist · Mansfield, TX
NPI 1720691900 · NPPES record last updated Aug 26, 2020
Key facts
- NPI
- 1720691900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 20 20 ICARE MANSFIELD PLLC
- Practice address
- 930 N Walnut Creek Dr Ste 100
Mansfield, TX 76063-8015 - Phone
- (817) 262-2145
- NPI assigned
- Aug 26, 2020
- Organization subpart
- No
Authorized official
- Name
- Dianne Doan, O.D.
- Title
- President
- Phone
- (817) 262-2145
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
930 N Walnut Creek Dr Ste 100
Mansfield, TX 76063-8015
Mailing address
930 N Walnut Creek Dr Ste 100
Mansfield, TX 76063-8015
Phone (817) 262-2145
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.