Provider Demographics
NPI:1063975951
Name:INTEGRATIVE EYE PARTNERS PLLC
Entity type:Organization
Organization Name:INTEGRATIVE EYE PARTNERS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-457-4300
Mailing Address - Street 1:6675 S CUSTER RD STE 600
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1840
Mailing Address - Country:US
Mailing Address - Phone:469-317-2020
Mailing Address - Fax:469-638-5285
Practice Address - Street 1:6675 S CUSTER RD STE 600
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1840
Practice Address - Country:US
Practice Address - Phone:956-457-4300
Practice Address - Fax:469-638-5285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty