Active NPI
Neuro Eye Team PLLC
- Vision Therapy Optometrist
- Fort Worth, TX
National Provider Identifier
1740813005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- Legal business name
- NEURO EYE TEAM PLLC
- Practice address
- 6612 N Riverside Dr
Fort Worth, TX 76137-6663 - Phone
- (817) 918-3337
- Fax
- (817) 918-3337
- NPI assigned
- Feb 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Conley, OD
- Title
- Owner
- Phone
- (817) 918-3337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | Primary |
Addresses
Primary practice location
6612 N Riverside Dr
Fort Worth, TX 76137-6663
Mailing address
6612 N Riverside Dr
Fort Worth, TX 76137-6663
Phone (817) 918-3337
National Provider Directory
National Provider DirectoryLocations
6612 N Riverside Dr
Fort Worth, TX 76137
Phone (817) 232-8877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581638400000",
"number": "1740813005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6612 N RIVERSIDE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761376663",
"telephone_number": "817-918-3337",
"fax_number": "817-918-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6612 N RIVERSIDE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761376663",
"telephone_number": "817-918-3337",
"fax_number": "817-918-3337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO EYE TEAM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A",
"authorized_official_last_name": "CONLEY",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-918-3337",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.