Provider Demographics
NPI:1063117455
Name:NEED EYE EXAM PLLC
Entity type:Organization
Organization Name:NEED EYE EXAM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIS
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:GRAJALES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:484-288-0315
Mailing Address - Street 1:2436 QUAIL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-6625
Mailing Address - Country:US
Mailing Address - Phone:484-288-0315
Mailing Address - Fax:
Practice Address - Street 1:2532 OLD DENTON RD UNIT 103
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1444
Practice Address - Country:US
Practice Address - Phone:469-469-1338
Practice Address - Fax:972-292-9969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty