Provider Demographics
NPI:1154951291
Name:VALLEY RANCH EYE CARE
Entity type:Organization
Organization Name:VALLEY RANCH EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEEG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:518-312-6923
Mailing Address - Street 1:220 S DENTON TAP RD STE 204
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5039
Mailing Address - Country:US
Mailing Address - Phone:972-745-8760
Mailing Address - Fax:
Practice Address - Street 1:1213 MARKET PL
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7235
Practice Address - Country:US
Practice Address - Phone:972-646-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEAR VISION ASSOCIATES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty