Park Forest Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5376TG Issued in TX

Legal business name

PARK FOREST EYE CARE, PLLC

Practice address

11888 Marsh LN
Suite 414
Dallas, TX 75234-8083

Phone

(972) 960-2020

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Marie Bourque-Wimbish, OD

Title

Owner

Phone

(972) 241-8084

Specialties & licenses 1

Addresses

Other names 1

• First Eye Care Park Forest Doing business as

Locations

Practitioners 2

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

• Nicole E Davis, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1811184427
  NPD
• Lori Bourque, OPTOMETRIST

  • Optometrist
  • Dallas, TX
  • NPI 1184604928
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1851762272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN STE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-241-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN",
            "address_2": "SUITE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-960-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FOREST EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "BOURQUE-WIMBISH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-241-8084",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5376TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Eye Care Park Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Cities Psychiatry, P.a.
• Park Cities Sleep Center, LLP
• Park Cities Speech, Language & Learning
• Park Cities Weightloss Clinic, LLC
• Park Cities Wellness Plus LLC
• Park Forest Optical LLC
• Park Infusioncare LP
• Park Infusioncare, LP
• Park Lane Allergy and Asthma Center, PA
• Park Lane Medical Group P.a.

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.