Provider Demographics
NPI:1083286504
Name:PELFREY, ELIANA (OD)
Entity type:Individual
Prefix:DR
First Name:ELIANA
Middle Name:
Last Name:PELFREY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 ANDORRA DR STE 180
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-2299
Mailing Address - Country:US
Mailing Address - Phone:817-674-7500
Mailing Address - Fax:817-809-9600
Practice Address - Street 1:72 ANDORRA DR STE 180
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:TX
Practice Address - Zip Code:76262-2299
Practice Address - Country:US
Practice Address - Phone:817-674-7500
Practice Address - Fax:817-809-9600
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10315T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist